Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Remedios Zacarias . During the visit, LPA observed 0 residents and 2 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.

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 118 degrees F in both resident bathrooms.

While touring the residents bedrooms, LPA observed resident bedroom across from the hallway bathroom, has damaged blinds. (Photograph was taken.) While touring the deck, LPA observed a small hole the size of a quarter. LPA also observed one of the wooden planks dipped a when you stepped on it. (Photographs were taken.) LPA also observed the window screen, for the bathroom closest to the deck was missing. (Photograph was taken.)

Fire extinguisher was serviced in September 28, 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 fire/disaster/earthquake drills conducted for the year 2023 & 2024 were on the following dates; February 20, 2024 and March 9, 2024. (Photographs were taken.) LPA asked ADM if these were the facility records for fire/disaster/earthquake drills. ADM confirmed those were the records. Page 1 Out of 2.