Facility Evaluation Report

On 5/23/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required on year annual visit. LPA Jensen met with Administrator Roselyn Escorido and explained the purpose of today's visit. The facility currently has 5 clients however one is moving out tomorrow. There was a power outage during the course of this annual inspection and power was restored by the end of the inspection. Based on an interview with the Administrator they do not have a formal written plan to be self reliant for 72 hours in the event of an emergency. The Licensee does have additional facilities in Modesto and Stockton that can be used for relocation if needed

LPA Jensen toured the grounds. The facility has a shaded backyard area and patio furniture available for outdoor activities. All window screens were observed to be in good repair. There is a broken dishwasher being stored in the backyard by the deck. The backyard gate door is sagging and must be lifted to close.

LPA Jensen toured the interior physical plant. While writing this report LPA Jensen observed a cockroach on the kitchen wall. The kitchen has an open container for waste disposal under the kitchen sink. In speaking with clients it was confirmed that the cockroach problem has been an ongoing issue. There was an adequate food supply observed. All knives, medications and toxins were observed to be locked and inaccessible to residents in care. The resdient shared bathroom water temperature was measured at 117 degrees and is in compliance. There is a gap/hole in the wall where the vanity meets the wall that is need of repair. There is an inoperable outdoor water sprinkler system control unit next to the kitchen with a broken cover that should be removed. There is an adequate supply of linens. The bedrooms contained dressers, night stands and lamps but no chairs. There are no night lights in the hallways. The bedroom wall for Resident 1 (R1) had stains and requires cleaning or painting.

The fire extinguisher was last serviced in May of 2024 and is in compliance. The smoke detector and carbon monoxide detector were tested and determined to be in good working order. There is an emergency supply of food, water and emergency lighting.