Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA Domingo was welcomed by, identified herself to, and discussed the purpose of the visit with Assistant Manager, Sarita Mendoza

The facility fire clearance was granted on 05/02/2023 and reflects that the facility was approved for 144 residents in total, of which 134 may be non-ambulatory, and 10 may be bedridden. The facility's fire clearance did not include endorsements for delayed egress doors or secured perimeter, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility. During today’s inspection, there were a total of 124 clients in care, and per medical records, all were ambulatory.

LPA, accompanied by licensee’s staff, toured the interior and exterior of the facility, and inspected multiple rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Call box was available in each resident unit and were tested for functionality. Resident's room temperatures were within a comfortable range. The facility’s ambient internal temperature was 79 F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 118 F, Bathroom #1 sink was 118 F, and Bathroom #2 sink was 118 F.

Refrigerator temperature was 35 F and freezer temperature was -5 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.