Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza a conducted an unannounced required 1 year inspection visit and was greeted by Rex Deocales- House Manager (HM). Rosario Arellano, LIcensee/Administrator (LIC/ADM) was not present due to prior commitment. LPA stated the purpose of the visit.

The facility is licensed to serve adults 60 and over. 1 may be bedridden and hospice waiver for 6. 3 Out of 5 are under hospice care. 6 Out of 6 are non-ambulatory, 6 out of 6 have neurocognitive disorder. 3 Out of 6 are under hospice care. LPA observed 5 residents and 3 staff were present at the facility at time of the visit.

At 1:45 p.m. LPA toured the facility inside and outside with HM including but not limited to the kitchen, bathroom, dining room, living room, 6 residents rooms, garage, backyard and exterior walkways. Walkways and hallways are free from obstruction. The exterior side walkways are free from obstruction and gates have audible alarms to alert staff.

The temperature inside the home was at 71 degrees Fahrenheit. The kitchen and bathroom water temperature measured at 110.1 to 111.5 degrees Fahrenheit. The kitchen was observed to be sanitary and organized, knives and sharps were locked and not accessible to residents. The bathroom/s are equipped with grab bars, non-skid mats. Resident's room (R1 to R6) have sufficient storage. Residents room are sanitized and organized. Rooms 3,4 & 5 have exit door/sliding doors with audible alarms to alert staff. Under the sink cabinet is used to store cleaning supplies and locked and not accessible to residents.