Facility Evaluation Report

Licensing Program Analyst (LPA), Alviso, conducted a Required - 1 Year Inspection, on 6/25/26 at approximately 1:15pm, and met with Administrator David Hanna,and Resident Care Coordinator (RCC) Karrie Hanna.

Currently twenty-five (25) residents in care; There are four (4) residents are on Hospice. Hospice care waiver approved for eight (8) residents. Facility has a required infection control plan. Facility has a required emergency disaster plan.

LPA reviewed seven (7) resident files, including medication records and observed storage of medications..

LPA reviewed seven (7) staff files. All staff have required DOJ criminal record clearance. LA reviewed staff training. All care staff have first aid certification and CPR certification. Staff have required training.

LPA toured the facility. There was a sufficient supply of cleaners/disinfectants, paper products, linens, and hygiene products. Facility had a sufficient supply of food. LPA observed residents' having their noon/lunch meal during the inspection. The facility bathrooms had grab bars for resident use, including non-slip/textured flooring in showers for residents use as needed. There was sufficient lighting in the facility, in common areas, bathrooms, and resident rooms checked, for residents use. Fire extinguishers were fully charged, serviced, and tagged as required. Medications were locked up and inaccessible to residents in care. Disinfectants/cleaners were locked up and inaccessible to residents in care. There was sufficient supply of hygiene products, paper products, cleaners/soaps, and personal protective equipment (PPE) supplies.