Facility Evaluation Report

On August 29, 2024, Licensing Program Analysts (LPAs) Kiran Jain and John Calandra arrived at the facility at 10:30 AM to conduct the Annual 1-year required inspection. LPAs Jain and Calandra met with caregiver Rome Cajigal, caregiver and explained the purpose of the visit. Administrator/Licensee, Victoria Flores arrived at the facility later during the visit.

LPAs Jain and Calandra toured the physical plant. This is a 2-story building with 3 bedrooms, 2 bathrooms, kitchen, office, laundry room, and living room with dining on the 1st floor. 2 nd floor is designated for staff with 1 room and 1 bathroom. No accessible bodies of water or hazards were observed. The fire extinguisher was fully charged and last serviced on 08/23/2020. The smoke detector and carbon monoxide detector were fully operational.

All rooms were observed to be clean with sufficient furniture and lighting. The hot water temperature in the bathroom sink faucet was measured at 122°F, which in above the required range of 105-120°F.

Sharp objects, detergents, poisons, and soap were observed to be accessible to persons in care. In the presence of the LPAs, they were locked and are no longer accessible to persons in care.

The kitchen sink water temperature was measured at 127°F. No expired food items were observed. The facility had the required 7-days of non-perishables and 2-days of perishables food items.

LPA reviewed 3 resident files and 6 staff files. All were observed to be complete.

The client’s medications were securely stored in a locked cabinet. Medication administration records (MARs) were reviewed and found to match Centrally Stored Medication Records kept at the facility. The First Aid kit was checked and found to have the required items.