Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's Required - 1 Year annual inspection. LPA met with Administrator, Judy Reyes.

During visit, LPA toured the facility to include the kitchen, living room, resident bedrooms, bathrooms, and exterior. LPA observed 4 residents. 3 staff members (1 LVN, 1 CNA, and 1 RN) were present. The 3 staff members are fingerprint cleared and associated to the facility's roster.

All fire exit routes are free and clear of obstruction. Fire extinguisher last serviced on 09/26/2024. Facility has an operable carbon monoxide detector. The facility has a Central Fire Alarm System that is connected to a monitoring vendor which will alert the local fire department in the event of an emergency. The fire alarm system and sprinklers was last serviced on April 2024. The facility has overhead lifts in the resident bedrooms, bathrooms and in the living room area. Facility has an emergency disaster plan last updated in January 2024 which still lists the former Administrator. Fire/Earthquake drills are being conducted at least quarterly. LPA observed 4 out of 4 residents uses oxygen. Facility has a back-up generator which was last serviced on 09/09/2024. Facility staff tests the generator every two weeks for about 15 minutes to ensure it is operable.

Facility temperature maintained at 68 degrees F. Lidded trash bin observed in the kitchen. Sharp objects, chemicals and disinfectants observed locked. Refrigerator temperature maintained at 35 degrees F. Freezer temperature maintained at 0 degrees F. 4 out of 4 residents uses a G-Tube for feeding.