Facility Evaluation Report

On 1/08/2025, Licensing Program Analyst (LPA) M Medina conducted an unannounced Annual Required inspection. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by Administrator, Tami Lopez.

Currently, there are six (6) residents in care. All residents were at day program at time of inspection, residents attend Day Program, Monday through Friday 8:00 AM - 2:30 PM. Facility tour conducted both inside and outside of facility. Facility observed to be clean, odor free, and a comfortable temperature. All residents have private bedrooms, resident rooms observed to have all required furnishing available. Bathrooms toured, LPA observed fixtures to be operational, water temperature measured at 108 degrees F. LPA observed the following, Wall behind toilet in hallway bathroom observed to have peeling paint, and wall observed to be moist. The tub/shower in hallway bathroom and master bathroom observed to be worn, may require repair and/or replacement. LPA observed the carpet in hallway from dining room to resident bedrooms observed to be rippled, which may be a potential tripping hazard. Kitchen toured, all knives observed to be locked and secured in kitchen drawer. All cleaning supplies observed to be locked under kitchen sink with additional supples secured in laundry room. Facility observed to have a 2-day supply of perishable food and a 7-day supply on non-perishable food available for residents. Medications observed to be locked and secured in kitchen cabinet. All medications observed to have original labels and observed to be administered as prescribed.

Outside of facility toured. Pool observed to be surrounded by a locked and secured gate and inaccessible to residents. LPA observed unused wrought iron fencing on the east side of house leaning against fence, which needs to be removed. All exits open free of obstruction.

Deficiency cited on the attached 809D. Exit interview conducted. A copy of this report provided to Administrator for facility records.