Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year visit, on 7/1/25 at approximately 2:20pm, and met with Licensee/Administrator Estelita Guzman. LPA observed the Administrator, and four (4) caregivers working at the time of arrival. There are currently seven (7) residents in care.

Fire clearance is approved for nine (9) non-ambulatory, of which two (2) may be bedridden. Facility has nine (9) private resident rooms.

Facility has an approved dementia plan of operation. There is an approved hospice waiver for two (2) residents. Facility has a required infection control plan. The facility has an emergency disaster plan as required.

LPA reviewed five (5) resident files; Resident files were complete.

LPA reviewed five (5) staff files. All staff have first aid and CPR certification. LPA reviewed staff training.

LPA toured the facility with the Administrator. Facility was clean and orderly during the inspection. Hot water was measured at 109.8 degrees Fahrenheit. All exits had auditory alarms. All exits were clear of obstruction. All facility walkways and ramps were free and clear of obstruction. All smoke alarms and carbon monoxide detectors were working properly during the inspection.Facility had sufficient lighting in resident rooms, bathrooms, hallways, and all common areas for residents in care. Bathrooms had grab bars, and mats in all showers for resident use.