Facility Evaluation Report

On 08/05/2025 at 01:20 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct the Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Administrator Annette Sanchez.

The LPA toured the facility including but not limited to residents’ rooms, bathrooms, kitchen, common area and courtyard. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The temperature in the kitchen was measured at 73.9 degrees Fahrenheit. The hot water temperature was measured at 132.2 degrees Fahrenheit, above the safe range of 105 to 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2 days of perishable foods. Centrally stored medications, sharps, and toxic cleaners are inaccessible to residents in care.

The LPA observed required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was fully charged and serviced. The Emergency Disaster Plan was last reviewed on 04/01/2025. Emergency, disaster, and fire drills are conducted monthly; the most recent drill was conducted on 08/01/2025. First aid kit was observed to be complete.

The LPA reviewed 5 resident and 5 staff records; all were complete.

1 Type-A citation was issued during the inspection.

Exit interview conducted and a copy of this report provided.