Facility Evaluation Report

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility at 09:45 am. 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 four (4) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with frozen foods to include meats and vegetables. There are two (2) extra refrigerator/Freezers (one in back yard storage/one in front yard storage) both stocked with back stock foods. Resident medications are stored in the upper kitchen cabinet. Medications observed to be locked and inaccessible to residents in care. The sharps are stored in a locked kitchen drawer and inaccessible to residents. Toxins are stored and locked under the kitchen sink. Outdoor laundry area appliances were observed to be functional.One (1) fire extinguisher attached to the wall in the kitchen observed to be charged.