Facility Evaluation Report

Licensing Program Analysts (LPA) Dang Nguyen and Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with caregiver Noe Contreras, and were later joined by Licensee/Administrator Marie “Angie” Rose.

According to the facility’s license, the facility has a maximum capacity for four (4) clients, of whom all can be non-ambulatory, but none may be bedridden. Per LPAs’ observations, LIC602 Physician’s Reports, and interviews: During today’s inspection, there were a total of four (4) clients in care, of whom all were non-ambulatory, and none were bedridden. LPAs interviewed multiple staff and multiple clients. LPAs also reviewed the care records for all clients, and the personnel and training files for all active staff. LPAs, accompanied by staff, also toured the interior and exterior of the facility and inspected all common areas and bedrooms.

Overall, the facility was clean, sanitary, and in good repair. Chemicals and hazardous objects were stored in secured/locked areas. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilet, and shower were all working. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. In the facility’s backyard, there was indeed a shaded outdoor activity space/patio, as required. The space and access to the patio was unobstructed and clean. Trashcans were observed in good condition.