Facility Evaluation Report

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility at 1:30 pm. LPA met with staff, and the administrator was contacted and arrived later. LPA conducted a tour of the physical plant at approximately to ensure there are no health and safety hazards, and the facility is following Title 22 Regulations.

Common areas—including the combined living and dining room, as well as the kitchen 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 two (2) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with frozen foods to include meats and vegetables. Medications and sharps are stored in a locked, free standing cabinet and inaccessible to residents. Toxins are stored and locked in the hall closet. The laundry area in the hallway was observed to be clean and functional. One (1) fire extinguisher attached to the wall in the kitchen observed to be charged.

The facility has a total of four (4) bedrooms with three (3) bedrooms for residents and two (2) bathrooms for residents’ use. The residents’ bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each resident.