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25 | On 11/8/2023, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Rosselyn Fagaragan/Director. LPA explained the purpose of today’s visit. The facility is licensed to serve (5) residents ages 60 and above of which (6) non-ambulatory only. Facility has an approved hospice waiver for (2) patients.
The facility is a single-story family home located in a residential neighborhood. The facility consisted of the following: Living room, dining area, kitchen, three (3) bedrooms, two (2) bathrooms, laundry area in the garage, indoor/outdoor activity area, shaded patio area, and attached two (2) car garage.
LPA Iniguez toured the physical plant with director. There were no bodies of water or obstructions on the premises. A total of (3) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #1, #2, and #3 and smoke and carbon monoxide combo are all in operable conditions. The water temperature properly measured between 105°-120°F: Kitchen 114.9°F, Bathroom #1:113.1°F, Bathroom #2:112.4°F.
Evaluation Report Continues LIC 809-C
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