Facility Evaluation Report

Licensing Program Analysts (LPAs) Simi Rai and Manuel Monter conducted an unannounced Required 1 Year visit and met with Licensee Lynda Miguel and David Miguel.

During visit, LPAs toured the inside and outside of the facility. LPAs toured the facility kitchen and observed food supply of at least 2 days of perishable food supply and at least 7 days of nonperishable food supply. Sharps and medications were locked in secured areas. There was a first aid kit in the facility. LPAs observed additional food supply areas and secured areas for cleaning supplies and laundry detergents.

The facility bathroom had available soap, paper towels, and trash cans with lids. The shower had grab bars, non-skid mats and and a shower chair. The water temperature in the bathroom sinks ranged from 116.6F-115.5F. The water temperature in the kitchen sink was 116.1F. Fire extinguisher was observed and inspected on May 2022.

Facility smoke detectors were tested and found to be functioning when tested. Four out of Four resident bedrooms had available bedding, drawers, and functioning lights.

When touring the outside area of the facility, the exits were cleared of obstruction.

LPAs reviewed facility records for staff and residents. LPAs reviewed resident medications and central stored medication records. LPAs conducted interviews with 4 staff (S1-S4). 5 out 5 residents were attending day program during visit.

This report was reviewed with Licensee David Miguel and a copy of the report was provided.