Facility Evaluation Report

On 07/15/2024, Licensing Program Analyst (LPA) Brian Phillips arrived at the facility unannounced to conduct a required annual site inspection at the facility above. When the LPA arrived, they were greeted by Licensee Reymar Castillo as the Administrator was not available and informed them of the reason for the visit.

The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards

and facility is in compliance with Title 22 Regulations. This is a Residential Care For the Elderly (RCFE) facility, with an approved fire clearance for six (6) residents. The age range at this facility is 60 years old and over. The facility is approved for six (6) non-ambulatory residents with a hospice waiver approved for two (2) residents.

KITCHEN: The LPA inspected the kitchen/food service area and observed that knives/sharp instruments are

stored in a locked storage container in the kitchen. Kitchen appliances were in operable condition. The LPA

observed perishable items in good condition, with proper expiration dates precluding the perishable items from expiring. The facility has a sufficient supply of perishable and non-perishable food. Additional perishable food items were purchased prior to the visit and stored in the garage area on a shelf and/or an extra freezer. The hot water temperature was measured in the kitchen at an appropriate temperature as per the regulation. The Kitchen/food service and preparation area was very clean and everything appeared to be in good/operating condition.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good

condition. There is a fireplace in the living room, which is covered and inaccessible. The facility maintained a

comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were fully charged and are serviced annually. All exits from the facility either have delayed egress or locks which were all operational at the time of the visit. The LPA observed required postings throughout the common space. Continued on 809-C