Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:59 AM. LPA met with facility staff #1 (S1) who contacted the facility Administrator Annie Osborn via telephone call. The facility Administrator arrived to the facility at approximately 10:55 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 10:05 AM, the LPA, along with S1 toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and that facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a properly secured drawer to contain knives and other sharp objects. LPA observed a secure under-sink cabinet to contain cleaning chemicals. A secured cabinet was observed to contain resident medications and facility files. LPA observed a wall mounted fire extinguisher to be fully charged and purchased on 04/11/2025.

BEDROOMS : There are four (4) bedrooms in the facility; three (3) are designated for resident use and one (1) is designated as a staff room. LPA and S1 toured all four (4) bedrooms in the facility. The staff bedroom was observed to be locked and inaccessible to clients in care. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #3 contained an additional closet that contained the facility’s adequate emergency food supply.