Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year visit, on 1/15/25 at approximately 10:00am, and met with Licensee/Administrator Claudia Quijada. There are currently five (5) residents in care, and one (1) resident is on hospice services.

Facility has an approved dementia plan of operation. There is an approved hospice waiver for two (2) residents. Facility has an infection control plan as required. Facility has an emergency disaster plan as required.

Facility has a fire clearance approval for a total of six non-ambulatory, of which two (2) may be bedridden. All locks on exterior gates are approved. The self latching fire exit gate is never to have a lock on it. The facility's last fire drill and evacuation drill was conducted 10/15/24 & 7/1/24. The facility does have emergency food, water, and miscellaneous supplies to meet the "72 hour shelter in place" requirements.

LPA reviewed five (5) resident files; Resident files were complete.

LPA reviewed five (5) staff files. LPA reviewed staff training. All five(5) staff have criminal record clearance, and are associated as required. All staff had required training. All staff had current First Aid and CPR Certification.

Hot water checked at 116.6 degrees Fahrenheit, which is within regulation. All exits were free and clear of obstruction. Fire extinguisher was serviced and tagged as required. Smoke alarms that are also carbon monoxide detectors were working properly during the inspection. The backyard has outside cement patio, with furnishings for resident use, including areas providing shade for residents as needed. The facility was at a comfortable temperature for residents in care; Residents were observed to be watching television and engaging with the staff during the inspection.