Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 10:45 am and made an unannounced 1-year required annual visit to the facility above. LPA met with Claire Aviado, administrator designee and Freda Robles Administrator explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety: The facility has 5 bedrooms and 3 bathrooms currently occupying 4 residents. The facility has smoke and carbon monoxide detectors that were tested and working at the time of visit. The lighting is sufficient for the use of the facility and resident comfort. The toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have non-skid mats/flooring. The pathways are clear of any obstructions. Disinfectant and cleaning solutions are inaccessible to residents in care. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade.

Operational Requirements: The facility has current liability insurance that expires on 9/11/25. The facility is operating in compliance with the granted fire clearance. The facility is approved for a capacity of 6. The fire clearance is granted for 2 bedridden residents. A hospice waiver is approved for 2 residents.

Personnel Records & Training: The facility currently employs 5 full-time caregivers, and 3 administrators. Records are kept confidential. Files were reviewed for, but not limited to current 1st Aid/CPR, Health screening with TB results, Criminal Record statements, files were complete. Continued 809-C