Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced plan of correction (POC) visit to follow up on deficiencies noted during annual visit conducted on 1/4/24.

On 1/4/24 LPA Flores conducted an annual visit and noted the following deficiencies:

Type A - Section 87303(e)(2) Maintenance and Operation: Water temperature tested as follow in RB #222 water temperature tested at 124.0 degrees F., RB#233 tested at 123.4 degrees F., RB 231 tested at 98.8 degrees F., and RB#206 tested at 100.9 degrees F. On 1/5/24 administrator certify in writing that temperature had been adjusted. On 2/1/24 LPA Flores tested water temperate in room #222,233,231, and 206 tested between 107.7- 109.5 degrees F., which is within the required 105-120 degrees F. Deficiency cleared as of 2/1/24.

Type B - Section 87307(d)(2) Personal Accommodations and Services: Courtyard patios were observed with three uneven cracks on the ground of about 1.5 - 2ft in length. On 2/1/24 LPA observed the courtyard and the repairs done to cover the holes. Deficiency cleared as of 2/1/24.

1) Passage way on the side of the kitchen was observed with a mop bucket, several crates, and a box. On 1/23/24 LPA Flores received pictures of cleared passageways.

2) An evacuation chair at each stairwell. On 2/1/24 LPA observed an evacuation chair in both stairwells.

Exit interview was conducted with Denise Sutton and a copy of this report was provided.