Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Janessa Flores. During the visit, LPA observed 4 residents and 2 staff.

LPA toured the facility inside out with Staff S1 which included the Living room, kitchen, dining room, 3 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 116 degrees F in resident bathrooms.

Fire extinguisher was serviced in February 8, 2024. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on May 14, 2024.

LPA reviewed 4 resident medications and centrally stored medication records. While reviewing resident R3's medication records, LPA observed medication #1 had an extra medication tablet that was not administered on the 7th of June. (Photographs were taken.). LPA reviewed the Medication administration Record, which stated the medication had been given. ADM stated the pill wasn't popped out completely and given to the resident. A review of R3's physicians report states R3 cannot administer his/her own medications.