Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Hannah Peralta, Erica Ng Licensee, Ley Arquisola, Nurse Consultant III from DDS, Nayeli Hidalgo RN consultant from North Bay Regional Center was also present at the time of visit. All clients were attending day program during visit.

LPA/Administrator initiated a tour of the facility at 9:00 am and made the following observations: Facility was a comfortable temperature. Resident rooms were furnished per regulation. Water temperature in client bathroom measured at 114.4 and 114.6 degrees F which is within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Cleaning supplies stored under kitchen sink and in garage were inaccessible to residents in care. Knives and other items that could pose a risk were locked. Medications were centrally stored and locked. Fire extinguishers are due to be serviced July 2023. 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 fire/disaster drill was completed 1/15/2024. Cash resources were reviewed. Full bed rails and PRN waiver on file. 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.

At approximate 9:15am, LPA/Administrator observed two cans of green beans were expired on December 2023.