Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Hannah Peralta. Clients were attending day program during visit. Required postings observed. Annual fees are current.

LPA/Administrator initiated a tour of the facility and made the following observations: Facility was a comfortable temperature. Resident rooms were furnished per regulation. Hoyer lift equipment was working properly. Water temperature in client bathroom measured at 121.3 and 121.5 degrees F which is not within regulation. Extra hygiene products and linens were available. Cleaning supplies stored under kitchen sink and in garage were inaccessible to clients in care. Knives and other items that could pose a risk were locked. Medications were centrally stored and locked. Fire extinguishers are charged & serviced May 2025. Combination smoke/carbon monoxide alarms were tested and operational at time of inspection. The home is fire sprinkled and has interior fire doors. A generator is used as their second required power source. Most recent disaster drill was completed 1/15/2026. Emergency food and water for at least 72-hours. Facility has at least two days of perishable and one week of non-perishable foods. Currently there are clients who are fed through G-tubes. LPA was able to verify that facility maintains a 7+ day supply of client prescribed nutritional formulas and supplies. LVNs and RNs are responsible for all tube feeds and medications. LPA/Administrator inspected facility van that contained a fire extinguisher and first aid kit. At approximately 9:30am LPA/Administrator observed a non-working hoyer lift machine behind the shed located outside. Per Administrator, they are in the process to discard it (technical violation issued)Continued on LIC809C...