1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | On 10/18/2023, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured facility with Administrator (AD) Marilen Gonzales and Phillip Gonzales, who was notified of Licensing visit over the phone and was able to attend the visit shortly. AD certification number 6055102740 and expiration date 8/12/2024.
Facility has one entrance/exit point. LPA toured facility with Administrator inside and out. LPA observed back yard fenced and the emergency exit gate was unlocked for safety of residents.
The facility was observed to be at a comfortable temperature, of 75 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed residents in common area after breakfast, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility.
Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.
Fire extinguisher was observed with a service date of 10/18/2023. All 5 residents’ bedrooms were observed to be with comfortable temperature. Bathroom water temperature was tested and recorded reading of 105 degrees F.
Report continues on LIC809-C |