Facility Evaluation Report

At approximately 12:55PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1-Year Required Visit and met with Administrator, Guadalupe Rivera. Licensee, Christine Woltering, was unavailable during visit. Facility serves older adults and has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance and total capacity for 6 non-ambulatory residents of which 1 resident can be bedridden. Facility has an approved hospice waiver for 1 individual. Upon arrival, LPA was informed that there were 4 Residents in care and 2 staff members on-site.

At approximately 1:00PM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 1:05PM, LPA conducted a walk-though of the facility with Administrator. LPA observed the following: Facility is a two story building. The first floor is for residents and the second floor is for live-in staff members. Facility has 8 bedrooms, 2 1/2 bathrooms and common spaces. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Mattress pads were in place or available for Resident use. Toxins were observed to be stored inaccessible to residents. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Hot water temperatures for all sinks were found to be within Title 22 Regulations of 105 to 120 degrees Fahrenheit. Facility's fire extinguishers were last inspected April 2024. Per interview with Administrator, facility's last emergency/disaster drill was conducted April 2024, but documentation was not found during visit (see technical violation, LIC9102, Health and Safety Code, 1569.695(c)). Smoke and carbon monoxide detectors were tested and operational.

At approximately 1:20PM, LPA reviewed staff files, resident files, and resident medications. Files were found to be well organized, thorough and contained the required documentation. Staff files had current First Aid and CPR certification. LPA observed that one staff member was missing 2023 annual training per Health and Safety Code (this deficiency has been cited, see LIC809D, Health and Safety Code 1569.625(b)(2)). Medication was centrally stored and secure.