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 10:00 a.m. Upon arrival, LPA Mosley was greeted by staff and called the administrator to inform them of the visit. The administrator was not available and designated staff / caregiver Merle Pacada to lead the tour and sign the report. 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.

Documents obtained: LIC 500, LIC 9020A, Liability Insurance.

KITCHEN: The LPA inspected the kitchen/food service area at 10:15 a.m. Knives and sharps were observed in a locked cabinet. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 119.7 degrees Fahrenheit at 10:18 a.m. Cleaning solutions, toxins, chemicals, and hazardous items were inaccessible and locked away inside a kitchen cabinet under the sink. At 10:39 a.m., the LPA observed five (5) cockroaches inside two kitchen cabinets posing a health and safety concern.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 2:35 p.m., smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were observed and fully charged on 8/14/2024. The LPAs observed required postings throughout the common space. The last emergency disaster drill took place on 08/04/2024. Activities were observed in the common areas.