Facility-requested visit·November 13, 2024

Licensing Program Analyst (LPA) Sara Martinez conducted an announced case management visit to increase the capacity per licensee request. LPA met with Administrator Efren Rillo and Administrator Assistant Earlienne Rillo and explained the purpose of the visit. At the time of visit there were 42 residents. Licensee requested a capacity increase from forty-three (43) residents to forty-five (45) residents. A Fire Clearance was approved on 09/10/2024 for two (2) additional non-ambulatory residents, of which of the 2 may also be bedridden. Facility sketch on file shows sufficient square footage in the facility and activity rooms to accommodate the requested capacity. LPA Martinez discussed the facility sketch with Licensee which provided amble space for 45 residents. LPA Martinez toured the interior/exterior of the building and visually inspected the resident bedrooms. LPA Martinez confirmed that all identified shared rooms are large enough to accommodate the required furniture for two residents without inhibiting movement into and throughout the rooms. The facility has 23 bedrooms for the residents with 21 bedrooms containing an attached bathroom. The facility has 4 additional bathrooms located throughout the facility. LPA Martinez additionally confirmed that there are sufficient bathrooms in the facility to meet Title 22 requirements for ratio of residents to bathrooms. The physical plant is ready for increase in capacity. LPA will submit file for capacity increase approval. The final approval of capacity increase is contingent upon LPM's final file review. Licensee will be notified by LPA once capacity increase has been approved by licensing. If capacity increase is approved, new license will follow in the mail after phone notification by LPA with Licensee. An exit interview was conducted where this report was discussed with and a copy was provided to Rillo.