Facility Evaluation Report

At approximately 12:45, Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection visit. LPA was greeted by administrator Al Balbuena. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for six residents. Facility currently has three residents which were all attending day program during visit.

LPA and admin toured the building and grounds which was found to be clean and in good repair. Facility was clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 4/9/2025. Fire alarms and carbon monoxide detector were tested and operational. Outdoor emergency exit clear from obstruction. LPA observed no outdoor furniture or chairs to be accessible for residents. LPA had conversation with admin that residents must have accessible seating area.

LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. LPA observed some food missing expiration dates. LPA had conversation with admin that all food must have expiration dates noted.

Toxins were observed to be unlocked under kitchen sink. Lysol spray and wipes observed to be unsecured and accessible to residents in the living room. LPA observed gallon bottle of bleach and gallon bottle of multi-purpose cleaner in walkway of backyard (Deficiency Cited, See 809D). Sharps and knives were in kitchen drawer without a lock. Staff stated drawer is locked while residents are home and LPA had conversation that lock must be on regardless if residents aren't home.

Emergency water and food supply was stored in garage. Facility had an ample supply of linens, towels and extra hygiene products for residents. All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. Bathroom accessible to residents had required bath mat and grab bar. Communal towel observed to be found in bathroom and no soap. Bathroom located in resident room did not have paper towels,bath mat or soap. LPA had conversation with admin about the provisions of maintenance services for all bathrooms accessible to residents.