Facility Evaluation Report

Licensing Program Analysts (LPA) Tuesday Cabiness, Huma Rahimi, Leslie Ngo-Castaneda, and Gina Saucedo arrived at the facility at 9:45 am to conduct an annual inspection. LPA's were greeted by house manager Teresa Batitis, who allowed LPA's to enter. Administrator Christina Destajo arrived at 10:20 am, and everyone was informed the reason of the visit. A complete inspection/tour of the facility was conducted from the inside and outside. The following was observed during the inspection:

Kitchen: LPA's observed Licensing requirement of (7) day nonperishable, and (2) day perishable, with extra refrigerator for staff only and freezer stocked with food, in the office. During observation of food in the freezer there was freezer burns and expired food, therefore technical assistance (TA) was given. Food was properly wrapped, and appliances were functional, clean, and in good repair. Chemicals, household supplies, and knives, that are stored in the kitchen and garage area were locked and secured. Living/dining: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms: The facility has (4) bedrooms residents; with (2) room for staff. All bedrooms were properly furnished and supplied with appropriate bedding and linens where two rooms are shared by residents. With total of 5 non- ambulatory residents. There were sufficient linens observed and available . Bathrooms: There are (2); all were clean, with soap and towels, grab bars, and non-skid mats. Hot water measured at 114 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards; passageways were free from obstruction and gates were easily accessible to open. But the other side of the exit, according to the administrator the neighbor is responsible with the a fallen fence, the Administrator is currently working with the neighbor to facilitate and fix the fence that is not stable and sturdy towards the exit. The facility has outdoor furniture, with a covered shaded area for residents and visitors. The facility has a swimming pool/body of water that is fence and lock with a padlock. Laundry detergents, cleaning agents and other toxins are stored in a locked cabinet in the staff room. Not all exit doors have locks; all were operating. Fire extinguisher fully charged. First aid kit furnished fully equipped.