Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at 10:40 a.m. for a pre-licensing inspection. The LPA was scanned and greeted at the door my Licensee Representative, Mc Richard Obtinalla . This is a change of ownership application from California Care RCFE-Baxter #565801398 to California Care RCFE Baxter #565850255. The current census is at 5 residents. The fire clearance was granted on 05/24/2022; in which all rooms were cleared for non-ambulatory.

KITCHEN : The LPA observed the kitchen/dining area to be clean. Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. The LPA observed one designated cabinet under the kitchen island where knives and sharps are stored locked and inaccessible to clients.

BEDROOMS : There are five (5) bedrooms in the facility; there are four (4) bedrooms for client use, and one (1) staff rooms. The staff rooms are kept locked. Lighting in the rooms appeared adequate. All four (4) client rooms were set up with beds, nightstands, lamps, chests of drawers, chairs, and closet space.

BATHROOMS : There are two (2) bathrooms for client use. One (1) out of the four (4) client rooms has an attached bathroom, and the other client bathroom is in the hallway. The showers are equipped with nonskid surfaces and available nonskid mats. Grab bars were observed in the bathrooms. The water temperature was measured in both bathrooms and were in compliance between 105 and 120 degrees Fahrenheit at the time of visit.