Facility Evaluation Report

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10:30a.m. Upon arrival, LPA Mosley was greeted by staff and called the Administrator to inform them of the visit. The Administrator arrived shortly after. The LPA met with Co- Administrators Elina Root and explained the reason for the visit. The LPA 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.

INTERVIEWS : From 10:40 a.m. - 11:00 a.m. One (1) staff and three (3) resident interviews were conducted during the inspection. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns were noted or voiced at the time of the visit.

COMMON AREAS : At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. At 1:46 p.m., smoke detector(s) and carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguishers were observed and fully charged on 2/21/2025. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 12/1/2024 and conducted quarterly with the next one scheduled this month. Activities were observed in the common areas. An adequate supply of emergency food and water was observed in the pantry adjacent to the kitchen. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. Inside temperature was maintained at a comfortable level.

BEDROOMS: The facility is a single-story residential home with seven (7) bedrooms of which six (6) are for resident use and one (1) for staff use. Resident bedrooms are private, single occupancy with its own bathroom. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Staff room remains locked at all time.