Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit during a complaint investigation visit. LPA met with Lisa Gomez and explained the reason for the visit.

On 11/13/24 LPA Flores conducted a health and safety check tour at the facility and observed the following:

A pair of large scissors and a knife in the dementia kitchenette in an accessible drawer

Water temperature was tested in each residents room and tested between 71.5-109.4 degrees F., which is not within the required 105-120 degrees F. Room #192 tested at 109.4 degrees F., room #167 tested at 102.8 degrees F., room #234 tested at 86.8 degrees F., room #224 tested at 71.5 degrees F., room #153 tested at 105.2 degrees F., and room #151 tested at 108.5 degrees F.

Deficiencies were noted on LIC 809D per Title 22 Regulations.

Exit interview was conducted and a copy of this report, LIC 809D, and appeal rights were provided.