Facility Evaluation Report

At approximately 12:50 PM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Caregiver. Administrator Maria Salvador was unavailable and Assistant Administrator (AA) Christine Salvador was sent to sign report. Facility is a Residential Care Facility for the Elderly (RCFE) with six (6) residents in care. At time of visit, three (3) residents were present with the rest at day program. Facility has a Dementia Care Plan, a Hospice waiver for one (1), with zero (0) Hospice residents currently in care, and is approved for all non-ambulatory residents.

At approximately 1:15 PM, LPA initiated a tour of the facility with Caregiver 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 3/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 112.4 degrees F and 105.9 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. Food was found to be stored in a safe manner with open items covered, as well as an emergency water supply. There is a seating area in the backyard with outdoor space for activities. LPA observed one locked shed in the backyard which acts as additional storage. Facility has an internet access device designated for resident use and internet service available. Facility telephone was tested and operational during inspection.