Facility Evaluation Report

Licensing Program Analyst (LPAs) Marcela Yanez and Manuel Monter conducted an unannounced annual inspection visit, and met with Carlito Ocampo . During the visit, LPA observed 5 residents and 3 staff. LPA explained the purpose of the visit.

LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 1 restroom 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 76 degrees F, and hot water temperature was measured at 135 degrees F in resident bathroom across from Resident bedroom #1. ADM stated he doesn't know why it was high. ADM stated it was set at "A". ADM stated the staff need to low the water after washing the blankets. LPA advised ADM that water temperature needs to be between 105 degrees F and 120 Degrees F for the safety of the residence in care. ADM agreed and understood.

Fire extinguisher was serviced in 04/15/2024. 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 drill was on 08/13/2024.

LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 1 staff and 2 residents.