Facility Evaluation Report

At approximately 9:45 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-Year Visit and Non-Compliance (NCC) quarterly visit and was greeted by caregivers Ronald Lazaro and Laila Lazaro. In addition, a private caregiver that a family member had hired to support a resident was present from the ABBA agency.

Although not required, it was recommended that this private caregiver be associated to the facility if long term care continues.

Imelda Padama, Licensee was contacted via phone and arrived at approximately 10:30 AM. LPA was informed there are four (4) residents in care and all were present during inspection. Facility is a Residential Care Facility for the Elderly (RCFE) with a Hospice waiver for two (2), an approved dementia plan, and fire clearance for capacity of six (6) residents; five (5) non-ambulatory and one (1) bedridden resident in room #4 only.

At approximately 10:35 AM, LPA initiated a tour of the facility and observed the following: Facility is a one story home, was a comfortable temperature, free from odors and passageways were free from obstructions. Water temperature in clients' bathrooms measured were above the required range of 105 to 120 degrees F per Title 22 regulations, and licensee had prominent signs warning of the hotter than normal water per regulation. A technical advisory was given to reduce the water temperature to reduce the risk or scalding injuries and licensee turned down the water heater while I was in the facility.

LPA observed client showers with grab bars an non-slip mats as required. LPA observed a supply of clean linens, incontinent care products, and paper products available to clients. Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked.