Facility Evaluation Report

On 08/26/2024, Licensing Program Analyst (LPA) Hansen conducted an unannounced Annual Required – 1 yr. inspection visit for this facility and met with Administrator, Chris Cardenas. Facility is 2 story with all 8 resident bedrooms on first floor. Facility approved/cleared for 8 non-ambulatory, and three (3) bedridden, with a hospice waiver approved for three (3). There are currently eight (8) residents in care, (7) seven with dementia diagnosis and two (2) on Hospice.

At approximately 11:50am, LPA and Administrator toured the building and grounds. All door alarm systems were observed to be in functioning order. 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 being labeled and dated.

All rooms were equipped with lighting, nightstand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care measured between 108.1 degrees F and 113.9 degrees F in 8 sinks, within Title 22 range of 105 to 120 degrees F. All shower floors have slip-resistant mats as required by Title 22 regulations. Fire extinguishers were last inspected 4/1/2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Toxins, sharps and other items that could pose a threat if available to residents were located in the carport, laundry room and next to the kitchen sink and found to be secured. LPA conducted spot medication count and found all prescription medication to be centrally stored and inaccessible to residents in care.