Facility Evaluation Report

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection and was greeted by administrator(admin) Gideon Castro. Facility is an Adult Residential Care for the Elderly licensed for a capacity of 6 residents. There are currently 5 residents in care. Facility is a two story facility, residents reside in first floor and staff rooms are located in second floor of facility.

LPA toured the building and grounds which was found to be at a comfortable temperature. LPA observed at least a 2- day supply of perishable and 7- day supply of non-perishable food. Expiration dates were not noted in some food items in refrigerator (Technical Violation given). Resident bathroom had required bath mat and grab bar. Bathroom found with paper towels and toilet paper. Dryer and washer found operational. Toxins found in two resident bathrooms unlocked under bathroom sink including chemicals found unsecured in bathrooms accessible for residents ( Deficiency cited, see 809D). Water temperature in sink accessible to residents in care measured within the allowable range of 105 to 120 degrees F. Resident bedroom observed to be equipped with lighting, night stand, and chest of drawer. LPA toured the outside backyard of facility and observed emergency exits free from obstruction. Noticeable spider webs and collected dust observed in resident window sills (Technical Violation given). Five out of five resident rooms did not have door signal system turned on in door that leads to outdoor perimeter of facility (Deficiency cited, see 809D). Fire extinguishers were last inspected 4/15/2025. Smoke/Carbon Monoxide detectors located throughout the facility are tested through Fire Marshall. Disaster drills conducted quarterly.

LPA conducted file review for 5 out of 5 residents. LIC613 Personal Rights signature missing from one (R1) resident file (Technical Advisory given).