Facility Evaluation Report

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection visit and was greeted by Program Administrator (admin) Jaime Healer. Facility is a Residential Care Facility for the Elderly (RCFE) with currently forty (40) residents in care. Facility has a hospice waiver for twenty (20), and a fire clearance approved for 60 non-ambulatory of which 10 can be bedridden. Approved for delayed egress.

LPA and admin toured the buildings and grounds. Facility found to be at a comfortable temperature. All passageways and emergency exits were free from obstruction. Activity room and courtyard accessible for resident use. Alarm system s throughout facility were functional. Fire extinguishers were observed charged and last serviced 12/5/2025. Facility's fire system is hardwired though fire department with last cleared inspection conducted on 10/09/25. Disaster drills are being conducted per regulations with last drill done on 12/18/2025.

Four (4) 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. Residents' bedrooms were inspected and observed to be clean with all the appropriate furnishings. Storage rooms containing cleaning supplies and other items that could pose a risk were locked.

LPA and admin did a walk through of the facility kitchen and was observed refrigerators and freezers to be clean. Expiration dates were noted on all food items. LPA observed at least a 2- day supply of perishable and 7-day supply of non-perishable food. Emergency food and water were observed.