Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with House Manager (HM) Ernie Manaois.

LPA reviewed 3 resident files and 3 staff files. LPA observed 5 residents and 1 staff in the facility.

LPA notified HM that the facility has balance to pay. HM stated the facility will pay it today.

LPA toured the facility inside and out with HM. License, Administrator Certificate were observed in the facility. Personal Right posters were not observed in the office. HM posted them at the main entrance before LPA finished the visit. Family room, dinning room, kitchen, office, 4 resident single rooms, 3 resident shared rooms, 1 staff live-in room, and 3 restrooms were inspected. The restrooms were observed without non-skid mats. HM put the non skid mats in the restroom before LPA finished the inspection. There was no night light at the facility hallway. HM installed the night lights immediately. Room temperature was at 70 degree F, and hot water temperature was at 116 degree F. The temperature of the refrigerator was at 35 degree F, and the temperature of the freezer was at 0 degree F. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Knives closet, medication closet, and cleaning product closet were observed not locked. HM locked them immediately. The facility is equipped with smoke and carbon monoxide detectors. HM tested the smoker detectors, and they were working fine. Fire extinguisher was serviced on 7/29/2024.