Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection and met with, Administrator, Michelle Jangar. There are currently 4 residents in care, one receiving Hospice services. This facility is licensed for a total of 6 residents, with a hospice waiver to allow all 6 residents on Hospice services..

LPA toured facility and grounds and observed all required signs posted in common areas. Facility was found to be at a comfortable temperature with all exits free from obstruction. Facility has at least two days supply of perishable and one week of non-perishable foods and items are stored properly. Fire Extinguishers were fully charged, and have proof of service on 1/6/2024. Smoke detectors and carbon monoxide detectors are operational. Fire drills are conducted and the last one was documented on 1/29/2024. Water temperature in the resident bathroom was tested and found to be within appropriate range of 105-120 degrees. Exit doors have auditory alarms to alert staff. The bedrooms are all furnished as required. Bathrooms were clean and sanitary with non-skid mats/floors and grab bars. The shed in the back yard is for storage of equipment only.

Resident and staff files are located and locked in staff office. LPA reviewed resident files and 2 out of 4 residents required an updated medical assessment. Staff files were reviewed and had no proof of required annual training and/or training was not documented to show the date of training or hours that were completed. LPA went over required documentation, training certificates or materials to be kept in file per employee.