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25 | On 1/3/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Lilian de Leon/Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and above. All rooms fired cleared for bedridden. Approved hospice waiver for (6).
This is a single-story home consisting of: (4) resident bedrooms, (1) staff room, (2) full bathrooms, living room, kitchen with dining area, outdoor shaded patio, backyard area, an attached garage with a washer and dryer located outside the garage. The front yard has adequate seating and has an enclosed fenced.
LPA Iniguez toured the physical plant with administrator. There were no bodies of water or obstructions on the premises. A total of (5) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected the carbon monoxide detectors combo were in operable conditions. The water temperature properly measured between 105°-120°F: Kitchen 109.7°F, Bathroom #1:105.7°F, Bathroom #2:109°F.
Evaluation Report Continues LIC 809-C
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