Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Doris Gonzalez. During the visit, LPA observed 4 residents and 1 staff.

LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 2 restrooms and 2 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 requested to see the facility dryer. ADM showed LPA the facility dryer. LPA asked ADM to turn the dryer on, S1 pressed the on button, but the dryer did not activate. ADM stated the dryer is not working. ADM and S1 stated the facility dryer has not been working for about 3 weeks.

While touring the shared bathroom between bedrooms 1 & 2, LPA observed a small piece of plywood on the ceiling. (Photographs were taken). ADM stated they were planning on removing the plywood and having it match with the rest of the bathrooms ceiling this weekend.

While touring the home LPA observed the following. Bedroom #2's window does not have a screen or a sliding screen door. Bedroom #1 does not have a sliding screen door. The door across from the front door, and adjacent to the kitchen does not have a sliding screen door. Bedroom #3 windows do not have screens. The bathroom between bedroom #3 and bedroom #4 does not have a screen for its window. (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 75 degrees F, and hot water temperature was measured at 118 degrees F in both resident bathrooms. Page 1 Out of 2.