Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso arrived to conduct a required - 1 Year inspection, on 12/9/24 at approximately 9:55am. LPA was greeted by the caregivers that were on duty. Lead Caregiver Liza contacted the Administrator Arthur Alcones regarding the LPA's arrival to the facility. Administrator arrived within the hour to meet with the LPA.

Facility has a required emergency disaster plan. Facility has a required infection control plan. Facility has an approved hospice waiver for three (3) residents only. Facility has an approved dementia plan of operation.

Facility has a fire clearance for six (6) nonambulatory, of which two (2) may be bedridden. Only the four (4) front rooms can be used for bedridden. Facility has five (5) residents in care. Per record reviews, last emergency disaster drills were conducted on 10/22/24 and 9/3/24; LPA discussed the requirement of ensuring that one of the drills done quarterly is an evacuation drill. Administrator stated their understanding of the above and has an evacuation drill planned this December 2024.

LPA toured the facility. Hot water was checked at 120. degrees Fahrenheit, which is within regulation. Administrator agreed to ensure the hot water is not above 120. degrees Fahrenheit and no lower than 105. degrees Fahrenheit. All fire extinguishers, two (2), were serviced and tagged as required. All smoke alarms were marked as working appropriately per inspection. All exit doors had auditory alarms on them. Food supply was sufficient. All medications were stored appropriately and locked up per regulations. All cleaners/disinfectants were locked up and inaccessible to residents in care. Sufficient supply of linens, paper products, furnishings, hygiene products, and personal protective equipment (PPE) for use by the facility. The facility was at a comfortable temperature. There was sufficient lighting for residents in all common areas, hallways, bathrooms, and resident rooms.