Facility Evaluation Report

Licensing Program Analyst (LPA) conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with house manager Ruben Yamuta.

According to the facility’s license, the facility has a maximum capacity of four (4) clients, of whom one (1) may be non-ambulatory. During today’s inspection, there were a total of four (4) clients in care. Per physician’s reports, two (2) clients are ambulatory and (2) are non-ambulatory. Per Yamuta, one non-ambulatory client is currently at Kindred Hospital and has been there since since February 2023. Yamuta stated that the client may be permanently moved to a skilled nursing facility. LPA spoke to Yamuta about being out of compliance if client is to return to the facility without changing non-ambulatory allowance. LPA also spoke to administrator Hector Obar via telephone and explained the situation. Obar was advised that he should apply for more non-ambulatory spots at the facility if he intends to have more than one (1) non-ambulatory clients at the facility. Obar stated this would be done and LPA provided him with duty officer phone number.

LPA, accompanied by house manager Yamuta, toured the interior and exterior of the facility, and inspected each room. 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. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 120 F, bathroom #1 sink was 119 F and bathroom #2 sink was 119 F.