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 9:48 a.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 Administrator / Licensee Jefferson Reyes 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.

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 9:55 a.m. LPA observed CLOROX cleaning / disinfectant wipes on the sign in area which were accessible which poses/posed a potential health, safety or personal rights risk to persons in care. Staff was informed and immediately stored the CLOROX cleaning / disinfectant wipes in the locked kitchen cabinet. At 12:25 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 and purchased on 10/3/2024. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 10/1/2024 and conducted quarterly. Activities were observed in the common areas. An adequate supply of emergency food was observed in a closet adjacent to the dining area. An adequate amount of extra bedding and towels were observed in a hallway closet for resident use. The LPA observed a sufficient supply of Personal Protectant Equipment (PPE). 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.