Facility Evaluation Report

On 07/14/2025, Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced and was greeted by Resident Care Coordinator Maria Ortiz, Administrator Magda Luis arrived shortly. The purpose of the visit is an Annual Inspection. There are currently 25 residents residing at the facility. There were 2 caregivers and one med tech at the time of inspection, as well as the Resident Care Coordinator, the Administrator, cook and maintenance director.

LPA inspected the facility's kitchen and found it clean and well organized, with an ample supply of perishable and non-perishable foods, as required per Title 22, however Administrator will ensure that supplies listed on the menu are available whenever possible. Kitchen knives are locked in storage closet in kitchen when not in use. Residents' rooms were clean and furnished as per regulation. Bathrooms had soap and paper towels. Water temperature measured between 115.3 and 116.9 degrees F, which is within regulation. Common areas including the dining room, the activities room and the Great Room were all clean and well organized. The outdoor courtyard was currently not in use due to a crew cleaning out and disposing of contents in storage unit. Removal of refuse is due to take place on this date, 07/14/2025. A recent gardening project completed by residents was visible through the dining room windows. Medications were locked and stored in general office and on the medication cart. Proof of Liability Insurance was provided. Fire extinguishers throughout the building were last charged and tested on 11/23/2024. The last fire drill took place on 04/15/2025 and the last fire inspection was on 06/09/2025. An Activities Calendar was posted with several activities occurring over the course of the day including chair exercise, BINGO, bible study.

LPA reviewed 5 resident files and 5 staff files and found them to be complete. LPA discussed the importance of in-person First Aid/CPR training. Administrator stated initial First Aid/CPR training in-person with refresher courses being completed on-line.

Exit interview conducted with Administrator, Magda Luis.