Facility Evaluation Report

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility at approximately 10:45 am. Upon entry LPA Smith disclosed to staff the purpose of the visit. The administrator was not present at the facility and was contacted by staff.

LPA conducted a tour of the physical plant at approximately 11:10 am 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 kitchen and livingroom dining room combination. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be clean with sufficient seating for the residents.

LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). There was sufficient non-perishable foods but not a sufficient supply two (2) days of perishable food observed. LPA observed rotting celery in refrigerator and in blue basket on counter: sprouting, shriveling-wrinkled potatoes with a green tinge. Staff discarded vegetables at time of visit. The refrigerator in garage is stocked with meats and frozen foods such as corndogs.

Resident medications are locked kitchen cabinet and sharps locked in two (2) kitchen drawers. Medications and sharps observed to be locked and inaccessible to residents in care. First aid kit stored in medication cabinets. Toxins are stored and locked in garage cabinets. There is one (1) fire extinguisher attached to wall in the kitchen and observed to be charged.

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