Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unnanounced to conduct a Required Annual Inspection and met with Charito Santos (Administrative Assistant), Jasmine Aquino (back up Administrator) arrived later. There are outstanding annual fees in the amount of $1238. Required postings were observed.

LPA/back up Administrator toured the facility at 9:00am and made the following observations: Facility was a comfortable temperature with thermostat reading at 73 degrees F. Passageways were free from obstructions. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cleaning supplies were also observed under the kitchen sink. Knives are located in a locked drawer in the kitchen. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked in a medication cart located in the office. Fire extinguisher was last inspected June 2025. Smoke and Carbon Monoxide detectors were tested during inspection and they were found operational. The last fire inspection conducted by Santa Rosa Fire Equipment Service was conducted on 5/19/25. Exit doors have auditory alert system that were functional at time of visit. Cash resources and records were reviewed. Emergency Disaster Drill has not been conducted within the last quarter (7/24/24). During last annual LPA discussed with Licensee the requirement of resident rooms needed a chair per resident per regulation, today there are some rooms needing the chair (technical violation issued). LPA/Back up administrator observed garbage cans needed to have a lid/cover in resident's bedrooms, bathrooms and living room (technical violation issued). Medications and medication records were reviewed.

-At approximately 9:10am LPA/Back up administrator measured water temperature in resident's bathrooms measured at 121.8 & 121.6 degrees F, which are not within allowable range of 105-120 degrees F.