Facility Evaluation Report

At approximately 8:45 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year inspection and was greeted by Caregiver (CG) Rodrigo Gallardo. Mc Hugh Care Home is licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for fifteen (15) Residents. Eleven (11) Residents can be non-ambulatory. There is a hospice waiver for one (1) Resident. Upon arrival, LPA was informed that there were eight (8) Residents in care and two (2) staff members on-site. At approximately 9:15 AM, LPA reviewed the Facility's Staff Roster and observed that all staff on-site were background cleared and associated to the facility per regulation.

At approximately 9:20 AM, LPA toured the facility with CG Gallardo. All exits were clear and unobstructed. The facility has three (3) fire extinguishers. Two (2) extinguishers were last serviced in 5/2024. One (1) extinguisher was observed to be last serviced in 6/2023. All extinguishers need to be serviced and tagged annually. This deficiency will be cited. The fire alarm and sprinkler system was serviced in 12/2024. Food supply was sufficient. The facility was sufficiently lighted. LPA inspected four (4) Resident bedrooms and observed all to have sufficient lighting and furnishings as required per Title 22 Regulations. The sliding screen doors in bedroom one (1) and in bedroom four (4) were observed to be damaged. This deficiency will be cited. LPA observed a badly broken window in bedroom seven (7). The window was observed to have been partially covered with cardboard and duct tape. This deficiency will be cited. The facility was previously cited for the same deficiency on 7/2/2024. As the deficiency has been cited twice in under twelve (12) months, a Civil Penalty will be assessed for the facility not being in good repair.