Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at approximately 9:00 a.m. When the LPA arrived, there was two (2) staff members and six (6) residents present. The LPA was greeted by Caregiver, Ashley Cabaneros. and the Administrator, Erlinda Gonzales. LPA informed them of the reason for the visit. Entrance Interview.

At 9:53 a.m. the LPA and the Administrator 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. The following was noted: Facility is a single-story residence that consists of six (6) resident bedrooms and three (3) bathrooms. There are two (2) staff rooms. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. During today’s visit the LPA obtained the LIC500 (Personnel Report), LIC9020 (Client Roster) and Liability Insurance. Last emergency drill was conducted on 09/01/2024.

Bedrooms: All residents' bedrooms were properly furnished with at least one chair, a bed, night stand, chests of drawers, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. The bedrooms were large enough to allow for easy passage between the beds and furniture. In addition, no bedroom was used as a passageway to another room, bath, or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. Linens are kept in the closet and each room contains additional linens in resident closets.