Facility Evaluation Report

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with Administrator Anna Fabregas and explained the reason for the visit. At approximately 10:35 am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke detectors were tested at 11:30 AM. There are carbon monoxide detectors installed in the hallways between residents' rooms. Carbon monoxides were tested and were functional. Fire extinguishers are located in the kitchen and family room and are observed to be full and last inspected on April 19, 2024. Fire extinguishers are located in the kitchen and family room and are observed to be full and last inspected on April 23, 2025.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets.

Bedrooms: The facility has seven (7) bedrooms. There were six (6) bedrooms designated for residents' use. One (1) bedroom is designated for staff use. All bedrooms in use by residents were private and properly furnished with appropriate beddings and linens, with sufficient lighting.

Bathrooms: There are four (4) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 107.9, 109.5, 110.1, and 111.3 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection.

Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit.

Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. There is a structure at the back of the facility currently being used as old equipment storage. (Continue on 809C)