Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh arrived unannounced at 8:55AM for a required one-year visit. The LPA met with Resident Care Services Director (RCSD) Cortney Barber and explained the reason for the visit. Entrance interview conducted. Executive Director (ED) Abigail Traxler arrived at 10:33AM.

At 9:45AM, the LPA and RCSD 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 facility is a five-story building. The following was observed:

RESIDENT ROOMS: The LPA observed randomly selected rooms on the first, second, third, and fourth floors and no immediate health or safety hazards were observed. Restrooms were clean, with properly installed grab-bars in resident restrooms and non-skid strips in shower tubs. Appropriate furniture was also observed in the units. Water temperature was tested throughout the units and measured between 104.5 degrees F and 133.5 degrees F, which is not within the required range of 105 degrees F and 120 degrees F. Additionally, the LPA observed two (2) out of six (6) resident restroom sinks to be clogged and slow to drain during the visit. One (1) resident stated their sink had been clogged “for quite some time” and submitted a work order in addition to notifying staff. RCSD and ED immediately notified the building engineer to repair the sinks’ drainage.