Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff Roy Salomon and explained the reason for the visit.

At approximately 9:15am, with the assistance of staff, LPA took a tour of the physical plant. The facility is a level 4G Adult Residential Facility. The building is one story. Required postings were observed in the entry area. The smoke alarms are interconnected. There are two carbon monoxide detectors. One in the kitchen and one in the hallway by resident rooms. The facility has two fire extinguishers. One is located in the kitchen, and the other in the laundry room. The charge date is 03/14/2024. The facility last conducted their fire and earthquake drills on May 8, 2024.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of properly stored perishable and non-perishable food at the facility. Knives are in a locked drawer. Cleaning supplies are kept locked underneath the sink.

Bedrooms: There are five (5) total bedrooms. Two bedrooms are designated for staff. Three (3) bedrooms are designated for residents' use. Two (2) rooms are private and one (1) is shared. The bedrooms designated for resident use were properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are three (3) bathrooms. Two (2) are are full with shower, toilet and sink. One (1) bathroom just has the toilet and sink. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 119 degrees Fahrenheit. No cleaning supplies observed.

Common Areas : These included the living room and dining area. The common areas were properly furnished. Furniture in both the living room and dining area were clean and in good repair. The dining room table was large enough to seat six (6). Floors were clean and also in good repair. There is a fire place which