Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a required Annual inspection and was greeted by caregiver Edwin Taitano. Administrator Lily Alcones was in the Phillipines and staff called back up Administrator, Arthur Alcones to come to the facility. However, Mr. Alcones arrived at 10:17am. LPA requested a written plan from Licensee to address how they will ensure that back up administrator spends a reasonable amount of time in the facility, while Licensee/Administrator Lily Alcones is in the Phillipines to ensure resident's care needs will be met in case of an emergency and Community Care Licensing inspections. Facility contact information was reviewed. Annual fees are outstanding in the amount of $495.

At approximately 9:00am LPA toured the building and grounds. The facility was found to be at a comfortable temperature. All bedrooms were equipped with required furniture. Fire extinguisher charged and serviced as of December 2024. Smoke detectors and carbon monoxide were tested and operational. Auditory alarms were found operational. Last disaster drill was conducted on 7/8/25. Extra hygiene products and linens were available. LPA observed at least a two day supply of perishable and seven day supply of non-perishable food. Kitchen drawer with sharp knives locked. Cabinets containing cleaning supplies locked. Resident's bathrooms had required bath mat and grab bar, but one out of two bathrooms did not have paper towels available for residents in care (technical advisory issued).

At approximately 9:05am, LPA/staff observed a lock in the exit gate, during last annual conducted on 8/14/24, LPA reviewed fire clearance facility sketch and it was clarified with back up administrator to be an exit gate identified as an emergency exit. LPA have a conversation with back up administrator to remind them of this exit is identified as a fire clearance exit, and it must offer access for residents as an escape in emergency situations, the lock was removed by back up administrator.