Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Lolita Bautista .

LPA toured the facility inside out with ADM which included; the Living room, kitchen, dining room, 2 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. 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 closet, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degree F, and hot water temperature was measured to range between 106-108 degrees F in both resident bathrooms.

Fire extinguisher was serviced in 10/28/2022. 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. ADM stated they have not conducted a drill Since July 2023. ADM stated her staff forgot to log in on the fire/earthquake log. LPA observed facility Fire disaster/earthquake drill log and a 2023 log is not in file.

LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 2 staff (S1 to S2). Residents were not interviewed because they were attending day program during LPA's visit. LPA reviewed 3 resident P & I records.