Facility Evaluation Report

At approximately 11:20 AM, Licensing Program Analysts (LPAs) Julie Florio and Robert Frank arrived unannounced to conduct a required 1-year annual inspection. Administrator, Shelley Reyes was contacted via telephone and arrived at approximately 12:00pm. Facility is a Residential Care Facility for the Elderly (RCFE) with ninety-two (92) residents in care. Facility has a hospice waiver for twelve (12), a bedridden waiver for thirty (30), and is approved for all non-ambulatory residents.

At approximately 12:45 PM, LPAs initiated a tour of the facility with Administrator and observed the following: Facility is two stories, was a comfortable temperature, and passageways were free from obstructions. LPAs observed evacuation chairs at each stairwell. Six (6) residents' apartments were inspected and water temperatures in Residents' bathrooms and communal bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPAs observed a supply of hygiene products, clean linens, paper products, and incontinent care briefs available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. The call system was tested in five (5) resident's rooms and Caregiver response time was between two (2) and four (4) minutes. Storage rooms containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Facility kitchen and walk-in refrigerator and freezer were inspected and all food is being properly labeled and stored. Additionally, LPAs observed a menu with a variety of options as well as a communication board for staff to communicate residents' dietary restrictions. Medications were centrally stored and locked. There are covered seating areas in the multiple outdoor courtyard spaces throughout the facility for activities. Facility has internet available to residents and has a library with two community desktop computers available to residents in care. Residents were observed engaged in Bingo and there was an activities calendar posted with a variety of engaging events and outings planned daily. There are activity/game rooms on both the first and second levels.