Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff Corazon Grimares. During the visit, LPA observed 6 residents and 3 staff. LPA explained the purpose of the visit.

LPA toured the facility inside out with staff S1 which included the Living room, kitchen, dining room, one hallway restroom and 3 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected.

While touring the facility living room, LPA's observed two brown couches obstructing exit #3. LPA also observed the emergency disaster plan for adult day programs, (LIC610D). The LIC610D states the sliding door at the living room is a facility exit. While touring the backyard of the facility, LPA's observed a mattress, on the ramp directly next to the exit #4. Exit #4 is also indicated as an exit on the LIC610D. LPA's interview staff S1 and S2. Staff S2 stated the couches were placed in front of that exit by the morning staff because R1 likes to AWOL. While touring the facility garage, LPA's observed the door to the outside (Exit #2) was obstructed by a black trash container. The LIC610D states the garage door is also a facility exit location.

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 117 degrees F in both resident bathrooms.