Facility Evaluation Report

Licensing Program Analyst (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 Stefanie Ancheta, after identifying herself and stating the purpose of the inspection. The facility serves 74 non-ambulatory residents, age 60 and above, of which 10 may be bedridden, and currently has 69 residents in care. There is an approved Hospice Waiver for 20 residents. This is a two-story complex, equipped with delayed egress and secured perimeters.

LPA was accompanied by the Administrator Ancheta during a tour of the facility. Tour was conducted inside and out and included a sample of 4 resident units, the dining area, recreation rooms, and food storage areas. Signal system are in place and operational. The last disaster drill was conducted on October 8, 2023. No bodies of water are on premises. Passageways were free from obstructions. According to Administrator, there are no weapons and/or ammunition stored on the premises. Pull cords were available in each resident unit and were tested for functionality. Delayed Egress and secured perimeter doors were also tested for functionality. Resident's room temperatures were within a comfortable range.

Each resident had clean and sufficient bed linens. All extra linens towels, and washcloths are all accessible in locked hall closet. 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, however the resident’s rooms inspected did not have non-skid strips or mats. Hot water temperature in residents’ bathrooms were compliant.