Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and was welcome by Licensee Tony Guevarra. Required postings were observed.

LPA initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and pathways were free from obstructions. Client rooms are furnished per regulation. At least two days of perishable and one week of non-perishable foods were available. Toxins are locked in a cabinet. Medications are centrally stored in locked cabinet and medication records were reviewed. Fire extinguishers were last inspected October 2022. Smoke detectors and carbon monoxide detector are wired located throughout the facility were tested and operational. Facility does have a current activity calendar and menu. Cash resources and documentation were reviewed.

At approximate 12:30pm LPA/Licensee observed water temperatures in client bathrooms read at 126.7, 125.1 and 114.4 which is not within regulation of 105 and 120 degrees F.

At approximate 12:40pm LPA/Licensee observed that the most recent Fire/Disaster drill was conducted in September 2022.

At 1:00pm LPA/Licensee conducted a file review of seven clients and three staff files. All clients care plans have not been updated within the last 12 months as stated per regulation. CPR/1st aid certificates and training hours are current.