Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced Annual Required visit to this facility. LPA's temperature taken upon entry and Covid symptoms questions contained on log. The administrator was contacted and authorized staff to sign.

LPA conducted a tour at 9:55 am of the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

LPA was escorted to the living areas. The living and dining room combination area observed to have adequate furnishings, sufficient lighting and observed to be clean with adequate seating for residents.

LPA was escorted to kitchen area. The area was clean and well kept. The kitchen food supply was observed and sufficient for the four (4) residents. Two (2) days of perishable fruits, vegetables, milk, and eggs observed. The freezer is stocked with meats, poultry, and frozen vegetables. There is a supply of canned foods, dried foods, and water in kitchen panty.

The knives and resident’s medications are locked in separate cabinets in the kitchen. The cleaning supplies were locked in a cabinet outside next to laundry area. LPA checked first aid kit and the first aid kit has sufficient supplies including a backup first aid kit. LPA observed locked staff room.

There are four (4) bedrooms designated for residents. All bedrooms were clean, properly furnished and had sufficient lighting. There were two (2) bathrooms with one (1) designated for residents. Each bathroom has posted “wash your hands” signs and were clean, properly supplied and had functional fixtures. The water temperature range between 106.7- and 107.9-degrees Fahrenheit. Facility maintains a temperature of 70 degrees Fahrenheit for residents.

Smoke alarms and carbon monoxide detectors were present and function properly.