Facility Evaluation Report

License Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct an annual required visit of the facility. LPA was welcomed by and met with Licensee Kevin Castaneda. There is a total of 1 resident, no dementia residents.

LPA toured the facility on 2/6/2024 at 10:00 AM with Licensee Kevin Castaneda; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Exits were equipped with auditory devices; all auditory devices were working properly. Smoke detectors and carbon monoxide detectors were found to be operational during the visit. Hot water temperature measured 116.7 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in resident’s bathroom while touring facility on 2/6/2024. The facility serves residents with dementia and has a plan of operation for special care and programming. There was a sufficient supply of both perishable and nonperishable food as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet in the laundry room/garage. Dangerous items were found stored inaccessible to residents. There was a supply of cleaners, hygiene products and paper products available for resident. The bathroom designated for residents at the facility were supplied with paper towels and hand soap dispensers. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in the bathroom shower. All bedrooms have lighting & appropriate furnishings. Resident’s bed was outfitted with mattress pad as required by Title 22 Regulations # 87307 on 2/6/2024 at 10:30 AM.

A review of one resident & two staff records was conducted. LPA reviewed resident’s files at 11:45 AM on 2/6/2024 and learned that 1 of 1 residents have an updated re-appraisals/needs & care plans and physician’s assessments (LIC 602A) are updated as required by Title 22 Regulations on file.