Facility Evaluation Report

At 10:15 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by staff and a resident's family member and informed them of the reason for the visit. Administrator Maria Ayala arrived approximately at 11:00 a.m .

When the LPA arrived they observed staff #1 and a resident's family member (F1), who is not finger-printed cleared at the dining table going through resident medication records. F1 proceeded to put all files away in the hallway closet where the files and resident medications are stored.

At 10:20 a.m. the LPA conducted a tour of the physical plant with staff to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of six (6) resident bedrooms, two (2) resident restrooms, and one (1) staff restroom. The LPA observed fire extinguishers which were fully charged and last purchased in July 2024. All smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings in the hallway near the entrance area.

Kitchen : The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility. Snacks and beverages are always available for the residents. Knives are stored in a locked closet, and cleaning supplies are stored in locked cabinet, and in the locked garage.

Bedrooms: The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding. Starting at 10:30 a.m.,the LPA observed the auditory alarms in the exist doors of rooms #1, #3 and #6 to not be operable. At 10:32 a.m. the LPA observed the exit door in room #3 blocked with an arm chair. At 10:39 a.m. the LPA observed the exit door in room #6 blocked with a walker, and chairs. Upon observation, staff removed items from the exit doors. Report will continue on LIC809-C.