Facility Evaluation Report

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility 10:35 am. LPA was greeted by the staff and disclosed the purpose of the visit. The administrator was contacted and arrived later.

LPA conducted a tour of the physical plant to ensure there are no health and safety hazards, and the facility is following Title 22 Regulations.

Common areas, which include the kitchen and the combined living and dining room, were evaluated for their ability to safely meet residents' needs. These spaces were inspected for cleanliness, and furniture was assessed for functionality and condition. All common areas were found to be clean, sanitary, and furnished with seating sufficient to accommodate residents comfortably.

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

kitchen food supply was observed and sufficient for the five (5) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with frozen foods. The resident medications are locked in standalone cabinet and observed to be locked and inaccessible to residents. There is one (1) fire extinguisher located in living room attached to wall. Fire extinguisher observed to be charged.

Laundry room is located in separated room at side of kitchen. The appliances observed to be functional. The locked cabinets in laundry room store toxins and cabinets in laundry area observed to be locked and inaccessible to residents.