Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced Annual Required visit to this facility. LPA's temperature taken upon entry. The administrator was contacted and authorized staff to sign.

LPA conducted a tour at 3:15 pm of the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

LPA was escorted to the living area which also has office area in the corner of the living room. The living room area observed to have adequate furnishings, sufficient lighting and observed to be clean with adequate seating for residents..

LPA was escorted to kitchen area. The kitchen food supply was observed and sufficient for the four (4) residents. Two (2) days of perishable fruits, vegetables, milk, and eggs observed. The freezer is stocked with meats and frozen vegetables. The kitchen was observed to be clean and sanitary. Laundry washer and dryer in kitchen observed to be in good repair.

There is a supply of canned foods, dried foods, and PPEs in garage. Extra water stored in kitchen near table.

The knives locked in drawer in kitchen and toxins locked in cabinet underneath knifes. Both observed to be inaccessible to residents. Medication and first aid kit stored in hallway closet was observed to be locked and inaccessible to residents.

There are four (4) bedrooms designated for residents. All bedrooms were clean, properly furnished and had sufficient lighting. Linen storage observed to have adequate supply of clean linen and towels. There were three (3) bathrooms designated for residents. Each bathroom has posted “wash your hands”