Facility Evaluation Report

On 1/10/2024 at 2:00 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct an annual required inspection. The LPA informed Staff Member Lucky Amenaghawon of the reason for visit. At approximately 2:30 PM, Administrator Ramon Romo and Regional Lorenzo Pennix arrived at the facility.

The LPA inspected the facility inside and outside with the staff and administrators. The inspection included the kitchen, dining area, living room, bedrooms, bathrooms, and yards. An adequate amount of food supplies were observed, more than enough for the required minimum of 2 days of perishable and 7 days of non-perishable. The central storage for medications and cleaning supplies were stored in locked cabinets.

Facility has a 2-in-1 smoke and carbon monoxide detector that was tested, and it was observed to function correctly. Facility conducts disaster and fire drills and records showed the most recent one was conducted on 1/1/2025. Fire extinguisher was fully charged and last serviced on 7/3/2024. The maximum hot water temperature in the kitchen was measured at 110.8 degrees Fahrenheit.

LPA reviewed 4 resident and 5 staff records.

Exit interview conducted and a copy of this report provided.