Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required 1 Year inspection at the facility today. The LPA met with Licensee Julia Espena and Administrator Louisa Cervantes. The home is vendored by Tri-Counties Regional Center as a level 3 home.

Beginning at 9:43 AM, the LPA, along with the licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. This Required - 1 Year inspection has a specific emphasis on infection control practices and procedures.

Kitchen The kitchen and food storage areas were observed. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Cleaning supplies and items that could pose a danger were secured and in locked cabinet. Medications and facility records are stored in a locked cabinet in the dining room area.

Common Areas: The living room was furnished appropriately. The carbon monoxide detector and smoke alarms in the common areas and bedrooms were tested at 9:55 AM and were found to be operational. The two fire extinguishers were fully charged and last serviced on 07/23/2021. Infection control signs are posted through out the facility. The facility has two common restrooms for resident use. Restrooms were observed to be clean and sanitary with hand soap and paper towels. At 9:50 AM the hot water temperature was tested in the second common restroom and it measured at 105.8 degrees F. The backyard has covered seating for resident use.

Bedrooms: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.