Facility Evaluation Report

On 2/7/2024, Licensing Program Analyst (LPA), Murial Han conducted an unannounced annual inspection. LPA met with Administrator, Phil Surdel and manager, Shanda Villanueva and LPA explained the purpose of today's visit.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. The facility tour consists of: living room, dining room, kitchen and bedrooms. During the visit, there was one client on premises with caregiver and five other client's at day program.

LPA observed client's bedrooms to have adequate lighting and furniture. There are three client's shared bedrooms (2 upstairs and 1 downstairs) and three bathrooms. Hot water was at 106 degrees Fahrenheit. Two days perishable and one week nonperishable food supply observed to be adequate for six clients. Facility was overall clean and odor-free. Comfortable temperature is maintained and lighting is sufficient for comfort.

LPA observed medications were stored and locked and inaccessible to clients in care. Kitchen tools and knives stored in locked hallway cabinet. Fire extinguishers were mounted and charged. Fire alarm, smoke detectors and carbon monoxide detectors are operational. Fire drills conducted quarterly.

LPA reviewed 4 resident records and all of them contained Admission Agreement, Medical Assessment- LIC 602 (Physician Order), Appraisal Needs and Service Plan, Resident Identification information, Pre-Placement Appraisals, GGRC/IPP, etc.