Facility Evaluation Report

On 12/28/2023, Licensing Program Analyst (LPA) M. Medina made an unannounced Annual Required Inspection. LPA introduced self, stated purpose of visit, and allowed entrance by care staff. Eric Lopez contacted by telephone and arrived a short time later to conduct inspection.

Currently, five (5) residents in care. Facility tour began in resident bedrooms. Rooms observed to have all required accommodations. All areas of the facility have sufficient lighting. Residents bathrooms observed to be clean and in good repair. Bath/tub are have non-skid mats and grab bars. Hot water tested in both bathrooms with a water temperature of 120 degrees F. Dining room and living room have adequate seating and lighting for all residents in care. Tour of kitchen conducted. LPA observed adequate food supply for the residents in care. LPA observed leftovers stored in the refrigerator and/or freezer observed to be properly stored and labeled. Medications observed to be locked in cabinet in laundry room. All medications observed to have original labels and observed to be administered as prescribed.

Smoke Alarms tested observed operational at time of inspection. Carbon monoxide detector present and observed operational at time of inspection. Fire extinguisher has a service date of 10/03/23. All cleaning supplies observed to be locked and secured in cabinet in garage.

Outside areas toured. All exits open freely and observed to be free of obstruction. No hazards observed.