Facility Evaluation Report

Unannounced annual visit made out to this facility on 09/20/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Valeria Orozco. Brief interview was conducted with the facility designated Administrator at this time.

It was learned that the residents were either out of the facility in the community at this time or present in their rooms and common areas. This facility was not vendorized to accept or retain any residents through Valley Mountain Regional Center at this time.

Administrator certificate was observed to be present and in compliance at this time for facility designated Administrator Valeria Orozco. Additional forms and documents were reviewed to make sure that the renewal process was initiated prior to the certificate expiration date.

Kitchen area was toured. Cabinets and drawers were reviewed.

Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities as observed in the rear garage, and storage area, at this time. This LPA did observe that all of the food supplies were maintained for most of the Davis Guest Homes within the area.

A tour of the dining area, living area, and all other areas intended for resident use was conducted.

Medication cabinets, located in the kitchen area, was reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications was discussed with the facility designated Administrator. This medication cabinets were observed to be locked and made inaccessible to the residents at this time.

First aid kits were observed to be present and contained all of the required components at this time.

A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Hot water temperatures was taken and measured to make sure that they were within the allowed range of 105-120 degrees.

Linen closet, located in the hallway, was observed to contain a sufficient supply of towels, blankets, and

linens to meet the needs of the residents at this time.