Facility Evaluation Report

At approximately 9:50 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by staff. Administrator Donabell Saddi was contacted and arrived at approximately 10:10 AM. Facility is a Residential Care Facility for the Elderly (RCFE) with five (5) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for two (2), with two (2) Hospice residents currently in care and is approved for all non-ambulatory residents and two (2) bedridden.

At approximately 10:20 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 5/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 116.9- and 116.2 degrees F, which is within the allowable range of 105- to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked.

LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed one (1) locked shed in the backyard the contents of which consisted of seasonal decorations and overflow storage. Facility has an internet access devise and internet available to residents in care, and the phone was observed operational during today's inspection.