Facility Evaluation Report

Unannounced annual visit made out to this facility on 09/08/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Damaris Vidot. The co-Licensee, Salome Garcia Williams arrived shortly thereafter to this facility while this LPA was conducting this annual visit. Brief interview was conducted with both facility Licensees.

Current census was 4 residents. It was learned that there were (2) residents present at this time with (2) additional residents out at their respectable day programs. This facility is vendorized to accept and retain Level 4E residents through Valley Mountain Regional Center.

Administrator certificate was observed to be present and in compliance at this time for facility designated Administrator Damaris Vidot.

Kitchen area was toured. Cabinets and drawers were reviewed.

Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. This LPA did observe an additional food storage unit which was present and functional at this time in the designated staff room.

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

Medication cabinet, 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 cabinet was observed to be locked and made inaccessible to the residents 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 temperature was taken and measured to make sure that it was 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.