Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee, Heherson Garcia. Residents were engaged in exercising activities.

LPA/Licensee initiated a tour of the facility around 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents rooms were furnished per regulation. Extra hygiene products and linens were available. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Emergency food and water was observed in the garage. Hot water temperature in bathrooms used by residents measured at 117.1 and 115.3 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Fire extinguisher was last serviced January 2025. Smoke detectors and carbon monoxide detector in the hallway was tested and properly working. Last disaster drill conducted on 7/14/25. Working auditory alarms are placed on all exits. Last fire inspection conducted on 6/17/25 to check fire door. Disinfectants and cleaning solutions were stored inaccessible to residents. Medications were reviewed, centrally stored and locked. There are no resident's that keeps medications in the fridge anymore. Required postings observed.

LPA initiated file review at 9:35 am. LPA reviewed three residents files and three staff files. All residents files does have a current medical assessment and care plans were signed by their responsible party within the last 12 months. Use of surveillance cameras without audio policy was included in resident's admission agreements. Staff records have current First Aid/CPR certificates and additional 20 hours of required training. Administrator Certificate for Heherson Garcia, 6053168740, expires on 12/3/25.

Licensee agreed to submit updates of the following documents by 9/25/25: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Emergency Disaster Plan & Copy of Liability Insurance.

No deficiencies found during today's inspection. Exit interview was conducted with Licensee and a copy of this report was provided.