Facility Evaluation Report

On 01/09/2024 at 09:00 AM, Licensing Program Analyst (LPA) Christopher Alemoh conducted an unannounced Required – Annual Continuation Inspection and met with Administrator Mary Maro Kariban four (4) residents and two (2) staff were present during this inspection. Facility Is following COVID mitigation protocols.

At 09:30 AM LPA Alemoh conducted a physical plant to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Facility temp noted at 75 degrees.

Facility is licensed to serve elderly residents aged 60 and above. Facility is cleared for non-ambulatory and bedridden residents. Facility also has an approved hospice waiver for 6 (6) residents. The Annual Licensing Fees are current.

The facility is a single-story structure with four (4) Resident rooms: Rm 3 and Rm 4 serve two (2) bedridden residents, Rm 1 and Rm 2 serve one (1) bedridden resident, staff room, living room, dining room, and kitchen. LPA accessed facility through rear alleyway.

S1 accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

There were four (4) bedrooms designated for residents' all rooms were properly furnished with appropriate beddings and linens with sufficient lighting. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.