Facility Evaluation Report

At 2:00 PM, Licensing Program Analyst (LPA) Huma Rahimi arrived at the facility above to conduct an annual required visit. LPA was greeted and granted access by staff #1 (S1) EDMIN Bernalledezma . S1 contacted the administrator Jefferson Reyes and informed them LPA was at the facility. LPA explained the reason for the visit. LPA and the Administrator conducted a physical plant tour of the facility and observed the following:

Kitchen: The kitchen was observed clean with sufficient supply of two-day perishables and seven-day non-perishables foods. LPA observed the knives and sharp objects located in a locked kitchen cabinet inaccessible to residents in care.

Bedrooms: LPA toured four (4) resident bedrooms. Two (2) bedroom may be shared. LPA observed rooms to have appropriate bedding and lighting. There is a night stand and sufficient storage. LPA tested the auditory alarms on the exit doors in the bedrooms and they were observed operational.

Bathrooms: LPA toured two resident bathrooms. One (1) bathroom is located in a shared bedroom for private use. All bathrooms were observed with non-skid matts, grab bars, toilet paper, paper towels and hand soap. Hot water temperature was tested at 2:25 PM, and measured at 119.3°F, within regulation. (Continued to LIC809-C)