Facility Evaluation Report

At approximately 9:55AM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a required 1-year annual inspection and met with Caregiver Lolita Pimentel. Assistant Administrator Christianne Salvador was called and gave permission for caregiver to sign and receive report. 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 one (1), with zero (0) Hospice residents currently in care, and is approved for all non-ambulatory residents. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation.

At approximately 10:20AM, 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. Facility's fire extinguisher was observed charged and last serviced 2/26. Combination Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 106.3 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. Additional bathroom was being renovated during this visit with a same day estimated completion time. LPA reminded caregiver that Community Care Licensing shall be informed of renovations/construction in order to ensure resident safety. 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 one unlocked shed in the backyard which contained old supplies. There is a shaded seating area in the backyard with outdoor space for activities, however, facility back porch had old bathroom appliances that will be taken by construction crew upon construction finish.