Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit at 11:28 a.m. LPA was greeted and screened by staff. This annual had a specific emphasis on infection control practices and procedures.

At 11:48 a.m. LPA and Administrator began the physical plant tour inside and outside to ensure there are no health and safety hazards and facility is in compliance with the Title 22 Regulations.

OUTDOOR SPACE: LPA observed the side and front lot, which has a covered outdoor area for resident use. There is an open gate at the front of the facility.

KITCHEN: At 11:51 a.m. LPA observed the kitchen/dining area. Knives are stored in the locked kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Emergency food and water are located in a storage room. At 11:55 a.m., LPA observed staff preparing food in the kitchen.

BEDROOMS: LPA observed multiple resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Passageways were free and clear from obstruction. Inside temperature was maintained at a comfortable level.

RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skids mats. At 12:06 p.m. LPA observed hot water to be measured at 140.2-degree Fahrenheit. Administrator observed the hot water temperature and requested maintenance to set the hot water no more than 120-degree Fahrenheit. At 2:04 p.m. LPA observed hot water temperature to be measured at 106.1-degree Fahrenheit.