Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:37 a.m., the LPA met with staff and explained the reason for the visit. At 11:30 a.m., the Licensee arrived at the facility.

At 10:30 a.m., the LPA, along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA observed the kitchen/dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:33 a.m., hot water measured at 105.4-degree Fahrenheit. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away inside a kitchen cabinet. At 10:35 a.m., the LPA observed three (3) cockroaches inside a kitchen cabinet. During the time of the visit, the Licensee began to remove all items inside the kitchen cabinet. The Licensee explained that the facility does receive pest control services and the next scheduled service is for September 28, 2023.

BEDROOMS: The facility is a single-story residential home with seven (7) bedrooms, five (5) for resident use and two (2) for staff use. The facility has four (4) bathrooms, two (2) for resident use and two (2) for staff use. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level.

RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. Between 10:43 a.m. and 10:56 a.m., hot water measured between 125.4 and 130.6-degree Fahrenheit. The Licensee was made aware of the water temperature and stated that he will adjust the temperature. The sinks had sufficient liquid soap, and paper towels. Continued on LIC 809-C.