Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Receptionist Jeff Keast and Executive Director Calais Anguiano. The facility's license shows a maximum capacity of one-hundred-and-twenty-two (122) non-ambulatory residents. Additionally, the facility is approved for delayed egress, a secured perimeter, and a hospice waiver for twenty-five (25). During today’s inspection there were sixty-nine (69) residents in care.

LPA, Executive Director Anguiano, and Director of Plant Operations (DPO) Josue Lopez toured the interior and exterior of the facility and inspected a sample of occupied and unoccupied resident 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, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment.

When testing the hot water at different sinks throughout the facility, water temperature consistently measured at around 97F. LPA had noted that all washing machines were in use in the laundry room, which could offset water temperatures in the building. Per DPO Lopez, laundry had been ongoing since 4am. LPA tested taps again later during the visit with an alternate thermometer and taps measured read at 112F.