Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified herself, and was granted entry by lead caregiver Darlin Avelar. LPA discussed the purpose of the visit with Facility Manager Mirtha Oropeza.

According to the facility’s license, there may be a maximum of 15 residents, all of whom may be non-ambulatory of which 13 may be bedridden in at any given time at the facility site. The facility is approved for 5 hospice residents. During today’s inspection, the facility’s current census is 13 residents living at the facility. There were 13 residents present at the facility site during the inspection.

LPA inspected 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. Residents bedrooms contained the required furnishings. Doors, windows, 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 activities.

The facility’s ambient internal temperature was comfortable and compliant, at 75ºF. Hot water temperature at taps accessible to residents became compliant during the inspection prior to LPAs departure.

There was at least 2 days of perishable food, and at least 7 days of non-perishable food present. Cooking, dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in locked medication room, which LPA inspected. The facility-maintained medication logs, which LPA reviewed.