Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today. The last annual conducted at this facility was on 05/25/2023. Upon LPA arrival, there were three (3) staff and six (6) residents present. LPA was greeted at the door by staff and the reason for the visit was explained. The Administrator, Emiliano Siapno arrived shortly after. Entrance interview.

At 8:55 a.m., the LPA along with 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.

KITCHEN: The LPA inspected the kitchen/food service area at 9:00 a.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. The knives and sharps are stored in a locked drawer inaccessible to residents in care. At 9:01 a.m., the hot water temperature was measured in the kitchen sink, and it measured 114 degrees Fahrenheit.

COMMON AREAS: At the time of the visit, the living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. At 9:13 a.m., the smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed to be in compliance and newly purchased on 08/07/2023. The LPA observed required postings throughout the common space.