Facility Evaluation Report

Licensing Program Analyst (LPA) M Cuadra arrived unannounced to conduct an annual required one year inspection, LPA was greeted by staff and Licensee, Evelyn Serrano arrived later. There are currently 5 residents in care. No residents receiving hospice services at the moment. Annual fees are current. Contact information was reviewed. Required postings were observed.

LPA/staff toured the facility inside and outside observed the following: the facility was at comfortable temperature with all exits free from obstruction. Some window screens needs to be cleaned (technical advisory was issued). Bedrooms were furnished per regulation. Smoke detectors and carbon monoxide detectors were tested and operational. Fire extinguisher were observed charged and service as of 9/5/2024. Licensee told LPA that the facility have not conducted a disaster drill within the last quarter (technical violation was issued). At approximate 9:25am water temperature in the resident's restroom measured 127 and 134.4 f degrees, which is not within range of 105 to 120 F degrees. Bathrooms have required non-skid surfaces and grab bars. At approximate 9:35am during physical tour of the facility, LPA/Licensee observed 3 litter of liquid soap, spray bottle 32 oz of disinfectant, Clorox bleach 32 oz and other cleaning solution bottles and disinfectants located under the sink were unlocked and accessible to residents. Linens and paper products were available. There was a one week supply of non-perishable foods and two days of perishable foods. LPA/Licensee observed in the refrigerator food not labeled and stored per regulation (technical violation was issued). LPA did not observe any staff encouraging activities to residents in care (technical violation was issued). Per Licensee, the residents are regularly taken to the park, bingo or watch television. LPA/Licensee discussed the importance and requirement to offer and provide daily activities to residents in care. Licensee agreed to re assess their current activity calendar and upgrade it as needed. Medication and medication records were reviewed. Medication was locked.