Facility Evaluation Report

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

LPA conducted a tour at 10:00 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 area. The living room area observed to have adequate furnishings, sufficient lighting and observed to be clean with adequate seating for residents. which also has office area in the corner of the living room

LPA was escorted to kitchen area. 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 and frozen vegetables. The kitchen was observed to be sanitary. Extra/emergency water stored under kitchen cabinet. Laundry washer and dryer in kitchen observed to be in good repair. Linen storage in laundry area observed to have adequate supply of clean linen and towels. The toxins stored and locked in cabinets across from laundry equipment and observed to be locked and inaccessible to residents.

The medication is stored in kitchen cabinet and was observed to be locked and inaccessible. The sharps are locked in kitchen drawer near medications and observed to be inaccessible. First aid store in drawers next to sharps.

There are six (6) bedrooms with four (4) bedrooms designated for residents. All bedrooms were properly furnished and had sufficient lighting. There are four (4) bathrooms and two (2) designated for residents. Each bathroom has posted “wash your hands”