Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit and was greeted by two caregivers. The Administrator, Rey Medel arrived at 11:00 am. The facility is licensed as an adult residential facility for the elderly to serve three ambulatory residents, three non-ambulatory which includes one bedridden resident. Staff confirmed there are five residents living in the facility. LPA and the Administrator began the tour of the facility at 10:15 am until 10:50 am. LPA observed the following:

Living Room – LPA Spaeth observed the living room contained comfortable seating and a television.

Kitchen/Dining room - The dining room and kitchen are combined. LPA Spaeth observed a seven-day supply of non-perishable food and a two-day supply of perishable foods. The fire extinguisher is located in the kitchen. LPA observed the knives were locked in a kitchen drawer, and the cleaning solutions were locked in a cabinet underneath the sink. A dining room table and chairs are located in the dining room area available for residents' use.

Bathrooms – LPA Spaeth observed the bathrooms contained hand soap, grab bars, slip resistant mats, paper towels, and a trash can.

Water Temperature - The water temperature was tested at 10:45 106.1 degrees F.