Facility Evaluation Report

At 09:00 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 informed them of the reason for the visit. Administrator Karina Rosales Antig arrived shortly.

At 9:40 a.m. the LPA conducted a tour of the physical plant with the Administrator 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 five (5) resident bedrooms, one (1) staff room, and two (2) restrooms. The LPA observed one (1) fire extinguisher which was fully charged and last purchased on 05/18/2023. 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. Food is prepared based on the menu. Snacks and beverages are always available for the residents. At 9:41 a.m. the LPA observed two knives in the unlocked dish washer machine. At 9:43 a.m. the LPA observed Robitussin cough+sore throat medication, Greri Tussin DM medication, and Nystatin 100,000 unit/ml medication in the kitchen refrigerator accessible to residents in care.

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. At 10:01 a.m. the LPA did not observed a required “No Smoking-Oxygen in use” sign in room #2 due to use of oxygen equipment.