Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual inspection on 08/08/2023 at approximately 2:00 PM. LPA is conducting visit with Desiree Rodriguez (DR), House Manager and Maritza Salazar, Administrator. There are currently 15 residents in care. There were 3 staff on site at the time of inspection.

The amount of fresh and nonperishable foods appeared to be within regulation. Medications were observed locked in medication room. Toxins were observed locked in a small restroom, accessible by staff only. Bathrooms were equipped with necessary grab bars and non-slip floors/mats and appeared to have sufficient hygiene products. Fire extinguishers were last inspected 6/26/2023 (2 extinguishers) and 2 Carbon Monoxide Detectors were observed and operational.

LPA reviewed 5 staff records and found that staff had current First Aid/CPR training. LPA also observed 5 resident records and found them to be complete. House Manager stated disaster drills are conducted monthly. Administrator's Certificate 6027846735 expires 07/02/24. Activities are facilitated 4 days a week with an activities director and other activities are provided as requested by the residents (such as arts and crafts or games, stationary bike).

No deficiencies cited during today's inspection.

Exit interview conducted with Maritza Salazar, Administrator.