Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit. LPA Rai met with Lead Caregiver, Lisa (Noveliza) Manzanilla and stated the purposed of today's visit. LPA Rai observed 2 staff in the facility, 3 residents sitting in living room. Lisa stated 1 resident is admitted to skilled nursing facility. LPA Rai spoke with Administrator (ADM) Jonathan Perez over the phone after completing inspection.

LPA Rai observed 2 cameras in the facility. One camera is located in the office area of the dinning room facing the dining room and kitchen and another camera is located in the living room facing the resident's sitting area. ADM and S1 stated the cameras only record video and do not record audio.

During visit, LPA Rai toured the inside and outside of the facility with Staff (S1). When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai observed the emergency exit ramp on the left side of the facility, when facing the facility building. This emergency exit ramp connects two resident rooms to the backyard. The concrete connecting the backyard floor to the wooden ramp is lifted approximately 3 inches, creating an uneven surface. S1 stated the residents have two additional emergency exits from the room. LPA Rai spoke with ADM and ADM is currently working with 2 contractors to fix the concrete in front of the wooden ramp. ADM stated the tree next to the concrete has lifted the concrete slab and the contractors will repair the concrete.

LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed secured areas for cleaning supplies and laundry detergents in the garage area.