Facility Evaluation Report

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection in conjunction with a complaint visit at 10:07 am.

LPA conducted a tour of the physical plant at approximately 11:25 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

The facility has two (2) floors. The first floor contains resident rooms, Staff access only kitchen, dining room, great room, and furnished patio. The second floor contains resident rooms, theater, beauty salon, furnished veranda patio, medication room, and activity room. Floors are accessible by elevator and stair access.

Common areas were observed for the ability to safely serve the needs of residents. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be furnished appropriately with adequate seating for residents, clean and free from odors.

LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The

kitchen food supply was observed and sufficient for the forty-nine (49) residents currently residing there. Two (2) days of perishable food 7 days non-perishable food observed. The freezer and pantry rooms were stocked with meats and frozen vegetables. Sharps are stored in the locked kitchen area.

Laundry room in hallway across from the kitchen. The appliances observed to be functional. Toxins stored in locked closets observed to be locked and inaccessible to residents.

Medications are stored in two (2) locked medication carts and/are in the medication room.