Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 12:50 P.M. The LPA initially met with caregiver Calixto “Alex” Calixtro and staff Eufrecina Tabuena. Administrator, Michelle Parr, was contacted via telephone. Administrator arrived at 2:24 P.M. Entrance interview conducted.

Beginning at 1:25 P.M., the LPA started reviewing records which included the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills conducted quarterly as per regulation; the last one being a earthquake and fire drill on 12/13/2024. Fire extinguisher was observed to be fully charged and last serviced 07/29/2024. Hardwired combination carbon monoxide and smoke detectors and fire door were tested at 2:15 P.M. and all were functional at the time of the visit. This facility doesn’t have a staff room, facility will provide 24/7 care.

The LPA, along with caregiver, toured the physical plant areas inside and outside at 1:45 P.M. to ensure there are no health and safety hazards and the facility is in compliance with Title 22 regulation. The following was observed:

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common hallway. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. The facility maintained a comfortable temperature of 71 degrees. LPA observed a working phone available for residents use whenever needed.