Facility Evaluation Report

Licensing Program Analyst (LPA) M. Cuadra conducted an unannounced Annual Required 1 Year inspection and met with Administrator Helen Rabago. There are residents receiving hospice services and diagnosis of dementia. Annual fees are current. Required postings were observed.

LPA/Administrator toured the facility inside and outside at approximate 10:00am and observed the following: Facility is clean, in good repair and at a comfortable temperature with all exits free from obstruction. Fire extinguisher charged and serviced February 2024. Smoke detectors and carbon monoxide detector were found to be all operational during the visit. Bathrooms were equipped with necessary grab bars and non-slip floors/mats. All three bedrooms used by residents did not have chairs as indicated per regulation . Administrator placed chairs on resident's rooms as stated per regulation (technical violation issued). Hot water temperature measured between 114.12 and 113.0 degrees F, in resident's bathrooms, which is within regulation of 105 to 120 degrees F. Last disaster drill was conducted on June 14, 2024. There is a minimum of one week supply of nonperishable foods and two days of perishable foods and it was stored and handled per regulation. However, during today's visit LPA did not observe any snacks been provided to residents in care. Per Administrator, sometimes they don't provide residents with morning snacks just afternoon. LPA discussed with Administrator that between meal nourishment or snacks shall be made available for all residents unless limited by dietary restrictions prescribed by a physician. Also, LPA did not observed any activities been encouraged to residents. Per Administrator, sometimes they go outside to exercise. There was an ample supply of hygiene products and paper products available for residents. Medication centrally stored and locked. Auditory alarms were present and operational.