Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Calderon, made a unannounced annual continuation case management visit. LPA met with interm-Administrator Claudia Sanchez and discussed the purpose of today's visit.

The facility is licensed to serve: Elderly residents ages 60 and over. Approved for (48) ambulatory residents and (32) non-ambulatory residents. (7) non-ambulatory can be bedridden. Bedroom # B1,A2,4,5,8,9,12 are cleared for bedridden residents.

LPA used the CARE Inspection Tool for the required one year annual inspection.

Today's inspection consisted of: LPA Calderon along side with Interm-Administrator toured the inside and outside of the facility. The facility consist of:

Random resident bedrooms and bathrooms were observed: Room #4, Room B-1A, Room B-1B, Room #6, Room #25 and Room #33.

Resident bedrooms were equipped with a bed, chair, night stand, adequate lighting and ample closet/storage space for each resident.

Appropriate linens and towels were observed and extras stored in hallway closet in the main building.

Laundry room with washers and dryers were observed.

Bathrooms are clean and operational with non-skid mats.

Water tested within Title 22 regulations, measuring between 105F to 120 F.

Appropriate food supply of two days of perishables and seven (7) days of non-perishables.

Thermometers in place, kitchen appliances were operable and food menu in place.

Sharps are locked in the kitchen, kitchen is inaccessible to resident in care.