Facility Evaluation Report

08/07/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently 5 residents in care. Facility approved/cleared for 6 non-ambulatory. Facility has a hospice waiver for 2. LPA was greeted by staff member. Administrator, Helen Rabago arrived shortly after.

LPA and administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner. LPA observed residents interacting along with a workout video. Administrator stated they have other activities available for residents such as board games, coloring, and drawing.

All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured at 111.9 and 107.6 degrees F which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 01/2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Sharps are located in the kitchen and were found to be secured. Chemicals were found to be secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. Facilities last fire/emergency drill was conducted 05/19/2025.