Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Maricel Bamba. During the visit, LPA observed 0 residents and 1 staff.

LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 2 restrooms and 3 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. While touring the backyard, LPA observed 2 sheds. The insides of the sheds are being used as storage. (Photographs were taken.)

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 110 degrees F in both resident bathrooms.

While touring facility bathroom closest to resident bedroom #1, LPA observed the flooring of the shower area was faded. LPA observed orange/yellowish stains on the shower walls. LPA observed the air extractor in the bathroom also contained dust/lint. While touring the hallway bathroom, adjacent to bedroom #3, LPA observed the shower walls with a orange/yellowish stain. LPA observed a yellow stain on the edge of the bathroom sink faucet and mirror. LPA also observed the air extractor for the hallway bathroom also had lint/dust. LPA observed the light switch for the hallway bathroom was also jutting out, exposing the inside of the light switch. (Photographs were taken.)

Fire extinguisher was serviced in May 10, 2023. 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 January 9, 2024.