Facility Evaluation Report

At approximately 09:15 am, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year annual inspection and was greeted by caregiver Maria Delfino

Facility is a Residential Care Facility for the Elderly (RCFE) licensed for 6 residents with five (5) residents in care. Facility has a Hospice waiver for six (6), with 2 hospice residents currently in care, and is approved for all non-ambulatory residents.

At approximately 09:45 AM administrator Sarah Jane Bautista arrived.

At approximately 09:45 am, LPAs initiated a tour of the facility with licensee and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 05/2024 and were observed to be fully charged . Water temperatures measured 115.5F and 116.5F. LPAs 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.

A strong odor of urine was detected inside and just outside bedroom #5 with patient noted to have a history of incontinence and hospice care (deficiency cited)

LPAs observed at least a 2-day supply of a variety of healthy perishable foods, 7-day supply of non-perishable food, and emergency water supplies. In addition, a variety of snacks and fruits were observed to be set out for residents. Food was found to be stored in a safe manner with open items covered.