Facility Evaluation Report

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to conduct a Post-Licensing inspection. LPA was greeted by, identified herself to, and explained the purpose of the visit to caregiver Priscilla Dizon. Administrator Silvana Huerta later joined the visit.

The facility is licensed for a capacity of fifteen, all of which may be non-ambulatory. Facility has a waiver granted for hospice care for fifteen residents.

LPA and caregiver toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order and bathroom sinks were compliant temperatures.

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 toxic chemicals/poisons accessible to clients. Medications were labeled and stored in a locked area.

The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records.