Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen conducted an unannounced Annual Required – 1 yr. Infection Control inspection and met with Licensee, Darwin Galicia. Facility has 4 residents, 1 with dementia, and 2 residents under hospice care.

During tour of facility on 01/12/2023 with licensee/administrator Darwin Galicia, facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Sample tour of resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Facility has at least two days of perishable and one week of non-perishable food. During tour with Licensee at 12:15pm, sharps drawer in kitchen was observed to be unlocked and accessible to residents in care (see LIC809-D). Hot water temperature measured between 112.4 degrees F and 114.2 degrees F in 2 out of 2 resident’s bathroom faucets which are within Title 22 acceptable regulation of 105 to 120 degrees F. Facilities Two bathrooms were equipped with non-slip floors and mats for safety and stocked with hand hygiene products. There was a supply of cleaners, hygiene products and paper products available for residents. Resident’s bedrooms have lighting & appropriate furnishings.

Fire Extinguisher was found to be last charged on 8/4/2021, not within fire clearance regulations (see LIC809-D). Smoke Detector and Carbon Monoxide Detector were tested and operational. Toxins are stored in a locked hallway closet & during today’s inspection, unlocked cabinet under sink (see LIC809-D). Medications are centrally stored and locked in a closet located in the hallway and inaccessible to residents. Facility maintains a 30-day supply of medication. Disaster Drills have been conducted quarterly with the last one being conducted on 10/2022.