Facility Evaluation Report

Licensing Program Analysts (LPAs) Alviso and Stevenson arrived unannounced to conduct a continued annual inspection, on 12/6/24 at approximately 11:05am, and was greeted by staff. Staff contacted Licensee/Administrator Arthur Alcones to notify them of the LPAs arrival. Administrator Arthur arrived to meet with the LPAs.

Fire clearance approval for six (6) non-ambulatory, of which one (1) may be bedridden. The facility has a required infection control plan. The facility has a required emergency disaster plan as required. Facility has an approved dementia plan.

The LPA toured the facility with staff. Hot water was measured at 120. degrees Fahrenheit, which is within regulation. Administrator will continue to ensure the hot water is within regulation, and not above 120.degrees and/or below 105 degrees Fahrenheit. There are three full bathrooms, and one 1/2/bathroom for residents use, but one of the full bathrooms is being renovated and is inaccessible at this time. Administrator to ensure the bathroom remains inaccessible to residents in care until renovation is complete. Administrator stated their understanding of the above. Bathrooms had grab bars and showers floor mats for resident use. The facility had sufficient lighting in all common areas, resident rooms, bathrooms, and hallways. Food supply was sufficient. All smoke alarms were working properly during the inspection; The facilities carbon monoxide detector was working properly during the inspection. Fire extinguisher, one (1), was being serviced and tagged during the inspection. Medications are kept in a small medication room that has a lock to keep medications locked and inaccessible to residents in care.

LPAs reviewed five (5) resident files, including medication records. The LPAs reviewed four (4) staff files, including training. All staff had criminal record clearance as required. All staff had cpr and first aid certification as required.