Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:55 AM. LPA contacted the facility Administrator Suzie Hastings via telephone call. The Administrator arrived to the facility at 10:13 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 10:15 AM, the LPA, along with facility Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN: 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. Knives and other sharp objects are stored in a locked drawer. The fire extinguisher was observed to be fully charged and last serviced on 05/19/2025.

BEDROOMS: LPA and the Administrator toured four (4) bedrooms at the facility. One (1) bedroom is designated as a staff bedroom and is locked and inaccessible to clients in care. Three (3) client bedrooms were observed, all of which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. One (1) client bedroom is designated as a shared bedroom.

RESTROOMS: LPA observed two (2) common resident restrooms. Both restrooms were observed to be clean. The hot water temperature was measured in both restrooms and was observed to be between 105 and 105.7 degrees Fahrenheit which is within the range required by regulation. Showers were observed to contain non-slip surfaces and mats. Grab bars were observed in both restrooms. Continued on LIC 809C.