Facility Evaluation Report

At 10:05 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 Alex Garcia and informed them of the reason for the visit. Licensee Adelaida Cruz arrived shortly.

At 10:22 a.m. the LPA conducted a tour of the physical plant with the staff and Licensee to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of two (2) living rooms, six (6) resident bedrooms, one (1) staff room, one (1) laundry room, two (2) communal restrooms and one (1) private resident restroom. The LPA observed fire extinguishers which were fully charged, however they were last serviced in October 2022. All smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings.

Kitchen : During the facility tour at 10:22 a.m. the kitchen appeared clean and the appliances and fixtures functional. LPA observed 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.

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 and linens such as sheets, pillowcases, mattress pads, and blankets. At 10:37 a.m. the auditory alarm on the exit door to the backyard in room #5 was observed to not be working. During the tour the LPA observed hygiene/grooming items in rooms #2 ,#3, and #4, and all rooms in the facility were unlocked and open. The facility serves residents with dementia and residents who are at risk if allowed direct contact with grooming/hygiene items. At 10:40 a.m. the LPA observed Aquaphor healing ointment in room #4. At 10:46 a.m. the LPA observed, stained walls, stained bed sheets, two boxes of powdered Vitamin C, and a tube of athletes foot ointment in room #3. Report will continue on LIC809-C.