Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with administrator (ADM) Marie Kathleen Alcala and stated the purpose of the visit.

The facility has a capacity of 72 and is licensed to serve all ambulatory only. During today's visit LPA observed residents are lined up to received their medication, some residents were in the courtyard, the dining room, their respective rooms, activity room, smoking area, and some were signing off to leave for their respective appointment. The facility has clinic that is separate from the resident's building.

LPA inspected the facility inside and outside with ADM. LPA inspected 7 resident bedrooms (rooms 205, 202, 113, 117, 235, 231 and 224). Smoking area, the kitchen and dining room, medication room, therapy area, office area, bathrooms, shower rooms. LPA inspected that exit doors and observed exit doors were not obstructed, has ramps, and no tripping hazard. LPA observed a help desk person at the entry way. ADM stated the help desk staff assists resident with roll over phones, monitors residents who are leaving and coming in to the facility, reminds residents of their medical appointments and assist residents with any other request they may need.

LPA inspected the dining area, and kitchen and observed dining is on a first-come-first save basis 3 residents lined up and waits for their turn to have their breakfast. LPA inspected the kitchen area and observed 2 days of perishable food and 7 days of non-perishable food supply. LPA observed facility chef/cook and one kitchen assistant busy preparing and serving breakfast plate for all residents -- See LIC 809C for continuation