Facility Evaluation Report

Licensing Program Analysts (LPAs) Quoc Huynh and Sandra Urena arrived at the facility unannounced to conduct a required annual visit at 9:58AM. The LPAs were greeted by staff and informed them of the reason for the visit. Administrator Anna Lee arrived shortly after. Entrance interview conducted.

Beginning at 10:15AM, the LPAs and the Administrator 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:

BEDROOMS/RESTROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are six (6) designated resident rooms and one (1) staff room. There are five (5) total bathrooms in the facility; two (2) is designated as a shared common restroom and three (3) private bathrooms. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap and paper towels. Hot water was tested between 10:15AM-10:40AM and tested between 112.3 degrees F and 113.4 degrees F, which was in the required range.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which was observed to be screened and inaccessible. The facility maintained a comfortable temperature throughout the visit. Smoke and carbon monoxide detectors as well as fire doors were tested at 11:45AM and were operational at the time of the visit. The fire extinguisher was fully charged and serviced on 10/08/2024. The LPAs observed required postings on the entry way hallway.