Facility Evaluation Report

On 06/12/24, Licensing Program Analyst (LPA) Renee Campbell arrived announced to conduct a Pre-Licensing Visit. LPA Campbell met with John Villareal and explained the purpose of the visit. This Pre-Licensing Visit is due to a change of ownership. The facility has a fire clearance for 7 non-ambulatory and 8 bedridden residents.

A tour of the facility kitchen and food storage was conducted. Knives were observed to be locked and made inaccessible to the residents in care. LPA observed a sufficient amount of 2 day perishable and 7 day non-perishable food supplies to meet the resident’s needs. There is 1 smaller refrigerator for short term storage in the kitchen. In the staff office, there are 2 larger refrigerators and 1 large freezer for long term perishable storage. The facility holds enough extra non-perishable food supplies to last seven days in the same office. A monthly menu was attached to the refrigerator in the kitchen.

LPA observed a locked centralized stored medication cabinet located in the dining room. Along with the administrator, the LPA observed and reviewed the client Medication Administration Record (MAR) put in place in May of 2024. Staff are able to track if clients have accepted or refused medication and log PRN usage. The First Aid Kit was present and contained all the required components including a thermometer, scissors and tweezers.