Facility Evaluation Report

On 01/22/2024 at 2:00 p.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility mentioned above to conduct a Required Annual inspection. LPA was greeted by Staff #1 (S1). S1 asked LPA to sign in. S1 called the administrator Marita Samaniego. Marita met LPA shortly after. LPA explained the reason for the visit. The inspection tool was used to complete the visit.

At 2:10 p.m. LPA began a physical plant tour of the facility and the following was observed:

Kitchen: LPA observed required postings on a wall leading to the office. LPA observed the kitchen to be clean and clear of clutter. All appliances were operative. Knives are kept locked in a kitchen drawer inaccessible to residents. LPA observed a 2-day perishable and 7-day non perishable food supply; properly stored. The fire extinguisher was observed by the kitchen, fully charged with a receipt of purchase from 04/18/2023.

Dining / Living Area: The dining and living area were clean and clear of clutter. Furniture appeared clean and in good repair. A fireplace located in the living area was not in use and secured with a glass screen. LPA observed the thermostat at a comfortable temperature of 72°F.

Bedrooms: A fire extinguisher was observed in the hallway leading to the bedrooms and was fully charged. There are four (4) bedrooms designated for resident use. One (1) out of the four (4) rooms is shared. All resident rooms are furnished with required lighting, dresser, chair, bed, and linens. Auditory alarms on exit doors were functioning properly.

LPA observed smoke detectors through out the facility that are interconnected. At 2:30 p.m. smoke and carbon detectors were tested and were observed to be functioning properly.