Facility Evaluation Report

On 07/22/2024 Licensing Program Analyst (LPA) Brian Phillips arrived at the facility unannounced to conduct a required annual site inspection visit at the facility above. When the LPA arrived, they were greeted by Direct Support Staff Members MaryLou Reyes and Mario DeChavez as the Administrator/Licensee 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 Facility for the Elderly (RCFE) with a fire clearance capacity of Six (6) clients. The facility has approval for (Six) 6 non-ambulatory residents, (One) 1 of which may be bedridden. The Bedridden resident must be housed in bedroom 1 or bedroom 2 of the facility. The facility has an approved hospice waiver for (Four) 4 residents.

KITCHEN: The LPA inspected the kitchen/food service area and observed that knives/sharp instruments are stored in a locked drawer 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 maintained 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 area was observed by LPA to be somewhat disorganized/disheveled, but no violations of Licensing regulations were observed, and all kitchen equipment/appliances were observed to be in good/operating condition. No toxic substances are stored in any food preparation or storage area, and all cleaning supplies for the kitchen are kept in a separate area than the food supplies. The freezer and refrigerator were both in the appropriate temperate Fahrenheit. There is enough tableware and utensils for all clients living in the facility, and enough equipment for the storage, preparation, and service of food. The Kitchen are also serves as the storage area for Resident Records, Staff member records, Medication Administration Records (MARS), and the Centrally Stored Medications themselves. All these documents and medications are stored in locked and secure cabinets away from perishable food items and kitchen utensils/kitchen microwave, oven, etc. Contd. on 809-C