Facility Evaluation Report

Licensing Program Analysts (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPA Rodgers was granted entry into the facility by Administrator Carminda Ramirez, after identifying herself and stating the purpose of the inspection.

Facility serves elderly residents ages 60 and above; approved for fifteen (15) residents of which six (6) can be non-Ambulatory. Hospice waiver for 3. The facility does not feature a secured perimeter.

LPA was accompanied by Administrator Ramirez during a tour of the facility. A tour of the facility was conducted which included a sample of resident units, the dining area, recreation rooms, and food storage areas. Signal systems are in place and operational. PPE supplies are onsite. Passageways were free from obstructions. Each resident had clean and sufficient bed linens. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars and Non-skid mats.

Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were in working order. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA observed an activities calendar; however, licensee explained most clients prefer to not participate.