Facility Evaluation Report

On 4/25/2023, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct a required annual inspection. LPA met with administrator Cleo Ramirez and announced the purpose of the visit.

LPA toured the facility inside and outside. The facility was at a comfortable temperature and adequately furnished. All passageways and exits were clear and free from obstruction. Facility had carbon monoxide and smoke detectors which were functioning. Facility fire extinguisher was serviced on 2/24/23 and also facility is equipped with emergency pull box. The facility phone was checked, operational and functioning. LPA toured resident bedrooms and bathrooms. All six bedrooms were adequately furnished and lit. Bathrooms were clean, odor free, and all fixtures were functioning properly.

LPA observed two-day supply of perishable food stuffs and seven-day supply of non-perishable food stuffs. Medications were locked in a cabinet in the kitchen and appear to be administered properly.

LPA reviewed Staff and Resident files. LPA reviewed emergency preparedness plan.

No deficiencies were cited during the inspection. Exit interview conducted. A copy of the report was provided.

Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete.