Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:34 AM. LPA met with facility staff who contacted the Administrator Jheria Frazier via telephone call. The Administrator arrived to the facility at approximately 11:00 AM Entrance interview conducted and the reason for the visit was explained.

Beginning at 09:40 AM, the LPA, along with staff #1 (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:

COMMON AREAS : This includes the living room, dining area/entryway, and hallway. LPA observed the living room to be clean and properly furnished at the time of the visit. LPA observed the living room to contain a couch, a television, and a locked medication closet. Additionally, the living room contained a closet that contained the facility’s washer and dryer. The dining area/entryway was observed to be clean and contains adequate seating for resident use. The hallway was observed to contain three (3) closets that contained linens and care supplies. LPA observed one window screen in the hallway to contain a large rip in the screening material. Smoke detectors and carbon monoxide detectors were tested at 10:09 AM and were functional at the time of the visit. All common areas of the facility contained cameras. LPA confirmed with the Administrator that the cameras are non-functional and audio is not recorded.