Facility Evaluation Report

On 4-30-25 at 1:15pm, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct a quarterly health and safety visit. LPA met with Administrator Lourdes Fernandez and explained the purpose of the visit. LPA conducted brief interview with Administrator during today's visit and reviewed facility file documentation including LIC 500, physician's report for resident1 (R1), and individualized program plan (IPP) for R1.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. LPA observed Administrator on duty and an additional staff on duty. LPA also observed two residents present with staff on duty providing needs as appropriate.

Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 72*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished.

Review of LIC 500 and staffing schedule revealed Administrator is on duty at least 40 hours per week. LPA observed physician's report and IPP for R1 have been updated and pending final signature of appropriate parties involved.

As a result of today's visit, no citations are issued under Title 22, Division 6 and noted on LIC 809D. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights provided.