Facility Evaluation Report

Licensing Program Analysts (LPA) Carol Fowler made an unannounced Required- 1 year inspection of this licensed facility and met with Administrator Angelica Gonzalodo, Administrator Selene Cruz Astorga arrived shortly after.

LPA toured the building and grounds which were found to be clean and in good repair. All walkways and exits were observed unobstructed. Water temperature was tested and within regulation between 105 and 120 degrees F. The fire extinguisher was charged and serviced 01/16/2023. Smoke detectors and carbon monoxide combo were tested and found to be in working order during inspection. Facility is equipped with fire sprinklers. Medications were centrally stored and locked in the dining room cabinet. Facility has at least two days of perishable and one week of non-perishable foods, food was stored properly.

LPAs reviewed 4 resident records and 5 staff records which were all found to be thorough and well organized and contained the required documentation. Medication was reviewed. First aid/CPR certification was current. Administrator Certificate for Selene Cruz-Astorga, #6019085735, expires on 08/10/2024 and Administrator Certificate for Angelica B Gonzalodo #6036738735, expires 2/20/2024. Last Fire drill was conducted and documented on 7/17/2023.

Licensee/Administrator to send in updates of the following documents by 09/05/2023:

Designation of Administrative Responsibility (LIC308)

No citations issued during today's visit.