Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection. The LPA Urena spoke with administrator Selva Banos on the phone and explained the reason for the visit. The Administrator arrived shortly thereafter.

The LPA and the administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The non-perishable food is located in a locked closet adjacent to the kitchen. The LPA observed a fire extinguisher in the kitchen area to be fully charged and operational. The LPA observed sharp objects and toxins to be locked away and inaccessible to residents.

BEDROOMS: The facility has three residents’ bedrooms, and one staff bedroom. All bedrooms were furnished appropriately with clean linens, furnishings and sufficient lighting. One bedroom has double occupancy, and two bedrooms are single occupancy.

BATHROOMS: The facility has two bathrooms. The bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. Bathrooms are sufficiently stocked with hand liquid soap and paper towels. Hand washing signs were posted.