Facility Evaluation Report

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility 12:00 pm. LPA disclosed to staff the purpose of the visit. LPA Smith contacted the administrator at 12:20 pm. The administrator authori zed staff Rosalva Arredondo to sign report.

LPA conducted a tour of the physical plant at approximately 12:25 pm to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Common areas were observed for the ability to safely serve the needs residents. These included the living room, dining room and kitchen. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to have adequate seating for residents.

LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The

kitchen food supply was observed and sufficient for the six (6) residents currently residing there. Two (2) days of

perishable food observed. The freezer is stocked with meats and frozen vegetables. Resident medications, sharps, and (1) large first aid kit box stored in large cabinet in next to refrigerator. Medications and sharps observed to be locked and inaccessible to residents in care. Toxins are stored and locked in a locked storage cabinet in garage. There is one (1) fire extinguisher attached to wall in the garage and observed to be charged.

Laundry room is located in the garage. The appliances observed to be clean and functional.