Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced One (1) Year Required Infection Control visit for this facility LPA was greeted by administrator who was observed wearing a mask LPA's temperature taken upon entry and Covid symptoms questions contained on sign in log for each visitor to complete. LPA disclosed the purpose of this visit.

LPA conducted a tour of the physical plant at 11:30 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

There are hand sanitizing stations all over the facility including signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors.

LPA was escorted to the livingroom and observed adequate seating for residents. Administrator confirmed there are four (4) ambulatory residents. The living area had furnishings and sufficient lighting. The area was clean and well kept.

Smoke alarms and carbon monoxide detectors were present and function properly. The three (3) fire extinguishers were current with receipts attached.

LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the four (4) clients currently residing there. Two (2) days of perishable fruits, vegetables, milk, and eggs observed. The freezer is stocked with meats, poultry, and frozen vegetables.