Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year visit, on 4/10/25 at approximately 10:00am, and met with Licensee/Administrator Claudia Quijada. There are currently two (2) residents in care and both are on hospice services. Lead staff/caregiver Berta, and Caregiver Yolanda were on duty during the inspection..

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

Facility has a fire clearance approval for a total of five (5) non-ambulatory, of which two (2) may be bedridden, resident rooms #1 and #2. All locks on exterior gates are approved. The self latching fire exit gate is never to have a lock on it.

The facility does have emergency food, water, and miscellaneous supplies to meet the "72 hour shelter in place" requirements. Required fire drills/emergency drills are being conducted as required; Last drill, Earthquake, was conducted on 2/28/2025.

LPA reviewed two (2) resident files; Resident files were complete.

LPA reviewed two (2) staff files. LPA reviewed staff training. All staff have criminal record clearance, and are associated as required. All staff had required training. All staff had current First Aid and CPR Certification.

The LPA toured the facility with staff Berta Calderon. Hot water was measured at 112.8 degrees Fahrenheit.