Facility Evaluation Report

Licensing Program Analyst (LPA), Alviso is conducting an Required-1 Year inspection, on 6/20/23 at approximately 11:35am, and met with Licensee Glenn Vargas, and Administrator Leonardo Dela Cruz. LPA observed two caregivers on duty during the inspection.

Currently four (4) clients in care. Facility has an approved fire clearance four (4) non-ambulatory clients. All client rooms are private. The facility does have a required infection control plan. The facility does have a required emergency disaster plan.

Facility had an evacuation fire drill on 6/14/23, including staff & clients. Clients, 4 out of 4, special diets regarding food are followed per staff interviews, and per LPA's observations during the inspection.

The LPA reviewed five( 5) staff files. Administrator certificate for Leonardo Dela Cruz is current-#6003742735, expires 8/6/2023. All staff have required criminal record clearance. All staff have required training. The LPA reviewed four(4) resident files. Resident files were complete. Resident P&I monies were maintained as required, and not mixed with facility funds/any other funds.

The LPA toured the facility with the Administrator. All exits were unobstructed. The facility's two(2) fire extinguishers were serviced and tagged as required-expires 10/12/23. Facility had six(6) smoke alarms, and all were working properly when checked during the inspection. Facility had two(2) carbon monoxide detectors that were working properly when checked during the inspection. Facility had a first aid kit stored in the kitchen, it did have a required first aid booklet. The facility had a first aid kit, and first aid booklet, in the client transportation vehicle. The facility had a sufficient supply of perishable and nonperishable food.