Facility Evaluation Report

On 02/26/2024 at 9:30 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with a staff at the reception area, and was granted entry to the facility. Executive Director Lisa To was contacted and met with LPA Brown. At the time of the visit there were five (5) direct care staffs present, and sixty-six (66) residents present.

The facility is a ninety-seven (97) rooms, one hundred and three (103) bathrooms with a kitchen/dining area, and living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of one hundred forty (140) non-ambulatory residents, approved for ten (10) hospice waivers and five (5) bedridden. The current census is sixty-six (66) residents. LPA Brown was accompanied by Business Office Manager Marcos Ramos to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperature in a resident bathroom to be at 106 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, Ombudsman poster, labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C ***