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 Frances Grace Reyes, after identifying themselves and stating the purpose of the inspection. This facility serves twenty-one (21) residents 60 and above; twelve (12) ambulatory and (9) non-Ambulatory.

LPA was accompanied by Administrator’s Ian Baylon and Administrator Grace Reyes during a tour of the facility. There are two (2) separate buildings at 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. No bodies of water are on premises. Passageways were free from obstructions. According to Administrator Reyes, there are no weapons and/or ammunition stored on the premises. All doors were operational.

Each resident had clean and sufficient bed linens. All extra linens towels, and washcloths are locked in a storage room. 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 pads. Hot water temperature in residents’ bathrooms were compliant.