Facility Evaluation Report

Licensing Program Analysts (LPAs) Kelly Dulek and Quoc Huynh conducted an unannounced required annual visit. Upon arrival, LPAs were greeted by the front desk staff. LPAs were informed Administrator would be at the facility shortly. LPAs informed facility management of the reason for today's visit. Administrator Patrice O'Grady arrived at the facility at 10:05AM. Entrance interview conducted.

Beginning at 11:34AM, the LPAs, along with Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

BEDROOMS/RESTROOMS: The LPAs observed a random selection of 10 (ten) resident rooms, all of which contain private restrooms. All bedrooms were furnished appropriately with clean linens, furnishings and sufficient lighting. Smoke detectors and separate carbon monoxide detectors were tested in various resident rooms and all functioned properly at the time of the visit. R estrooms were clean, sanitary and in operating condition with grab bars and non-slip surfaces. Water temperature was tested in various resident restrooms and temperatures ranged from 113.5 to 115.3 degrees Fahrenheit.

COMMON SPACES: The facility contains multiple common areas throughout, including but not limited to: 3 (three) dining/activity areas, common entry area, and a day room. Walls and flooring were checked for cleanliness and good condition. Department required postings were found in the front lobby near the restrooms. Fire extinguishers were charged and serviced 09/19/2024.

EXTERIOR: The facility has several enclosed courtyards with appropriate outdoor seating for resident use. The swimming pool on the premises was observed to be locked.

FOOD SERVICE: LPAs observed the facility's commercial kitchen, which was locked and inaccessible to residents in care. Kitchen appeared to be clean and appliances operable. Facility has sufficient supply of