Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct the required annual inspection. The LPA met with the Administrator Justin Levi and explained the reason for the visit. At the time of the visit, the facility had 0 residents. No staff was present at the time of the visit. The Administrator stated that they are waiting to get clients through a referral agency. The LPA and the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and that the facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, the living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. Smoke detectors and carbon monoxide detectors were tested and operational at the time of the visit. One fire extinguisher was fully charged and was last serviced 01/27/2025. The LPA observed required postings throughout the common space. KITCHEN: Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: The floor plan is approved for six residents’ rooms and one staff room. There was a linen closet in the hallway with extra towels and linens. The residents’ bedrooms are in the process of being remodeled and have no furniture. BATHROOMS: Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. No bodies of water noted. The laundry area and staff room were located to the right of the entry way door. LPA observed room to be inaccessible to residents in care. The washer and dryer are in a room adjacent to the staff room. Cleaning supplies and disinfectants are kept locked in the laundry area. RECORDS: No residents’ or staff records were reviewed at this time. The Administrator will inform the LPA when new residents are admitted, and staff start working. Once the LPA is informed, the LPA will return to review records. MEDICATIONS: No medications were reviewed at this time. Exit interview conducted. A copy of the report was issued.