Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with designated administrator Cleof e Lucas and stated the purpose of the visit. Administrator Diana Fontanilla was not available at the time of the visit due to prior commitment.

The facility is licensed for 6 adults 60 and over. All may be non-ambulatory. One maybe bedridden, and hospice waiver for 3. LPA observed 5 residents and 2 staff present,5 residents were in their respective rooms and were asleep.

LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, driveway, and outdoor spaces and storage areas. Indoor temperature was within acceptable range of 70°F to 84.7°F. The kitchen was sanitary and organized; knives and chemicals were locked. Food supply met requirements (2 days perishable, 7 days non-perishable). Kitchen water temperature measured at 110.8°F. Bathroom water temperature measured at 114.6°F.

Bathrooms had grab bars and non-skid mats; resident rooms had adequate storage. Medications were locked and inaccessible to residents; first aid kit was complete. Outdoor areas were free of hazards; laundry appliances were functional, and cleaning supplies were secured. Fire, smoke, and carbon monoxide systems were operational; hallways were clear and well-lit.