Facility Evaluation Report

Licensing Program Analysts (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 08:15 a.m. When the LPA arrived, there was one staff and six residents present. The LPA was greeted by Caregiver Oscar Ortega and informed them of the reason for the visit. Administrator Mike Trejo shortly arrived.

At approximately around 8:20 a.m. the LPA observed one of the residents (R5) agitated, walking in different directions within the home and stating, “I don’t know why I am here.” R5 appeared to be in distress and confused. Caregiver Ortega redirected R5 to sit down several times and telling R5, “Please sit down, so you don’t trip or hurt yourself.” At 8:25 a.m. the caregiver redirected R5 to sit down in a wheelchair and was going to place a restraining belt on R5 in the wheelchair. Upon observation, the LPA intervened and told the caregiver they cannot restrain residents. The Caregiver seemed confused, and asked the LPA, if they are not allowed to use the belt. The LPA had a conversation with the caregiver about following regulations and making sure residents are being well taken care of in a safe manner. The administrator arrived shortly after, and the LPA informed them of the incident and the administrator stated the caregiver should not have done that and that they will make sure all staff is trained on safely handling residents. The LPA advised the administrator they should contact R5’s physician and family.

At 08:35am the LPA conducted a tour of the physical plant with Administrator Mike. The following was noted: Facility is a single-story residence that consists of four resident bedrooms and two bathrooms. The LPA observed (2) fire extinguishers last serviced in 2021. Upon observation, the administrator took both fire extinguishers to get serviced during the visit. All smoke alarms and carbon monoxide detector were tested and functioned properly during time of visit. The LPA observed all required postings throughout the facility. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit.