Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh arrived unannounced at 9:36AM for a required one-year visit. The LPA met with the Executive Director (ED) Kathleen Glass and Director of Health Services (DHS) Clarissa Townes and explained the reason for the visit. Entrance interview conducted.

At 10:15AM, the LPA, ED, Business Administrator, and Director of Maintenance toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The following was observed:

RESIDENT ROOMS: The LPA observed ten (10) randomly selected rooms on four (4) floors and no immediate health or safety hazards were observed. Appropriate furniture was also observed in each unit. Restrooms were clean, with properly installed grab-bars in resident bathrooms and non-skid strips in shower tubs. Water temperature was tested throughout the units and measured between 115.3 degrees F and 120 degrees F, which is within the required range. At 11:03AM, the LPA tested the facility’s call system pendant with staff response at 11:05AM.