Facility Evaluation Report

Licensing Program Analysts (LPAs) Ashley Smith and Sandra Urena arrived unannounced to conduct a required annual inspection. The LPAs met with Assistant Administrator Janyce Pink and explained the reason for the visit.

The LPAs 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: LPA Smith observed the kitchen area at 10:35 a.m. The facility has a sufficient supply of non-perishable and perishable food items. Appliances appeared to be in operable condition. The menu was posted. The kitchen and dining room area was observed to be clean and in good condition.

Resident Rooms: Between 10:20 a.m. – 10:40 a.m., LPA Urena observed five (5) resident rooms. Rooms appeared to be well kempt and in good condition. During the room inspection, LPA Urena tested the water temperature. Water temperature ranged between 108.8 degrees F – 122.0 degrees F. Out of the five (5) bathrooms tested, the water temperature in the restroom of Room #41 registered at 122.0 F at 10:36 a.m., and the water temperature in the restroom of Room #46 measured at 120.3 F at 10:39 a.m.

Common areas: The facility is a two-story building with resident rooms on both floors. Staff were observed wearing appropriate face coverings throughout the visit. In addition, the LPAs observed hands-free hand sanitizer interspersed throughout the common grounds.

There were no obstructions and/or tripping hazards throughout the facility. The facility maintains a comfortable temperature at 72 degrees. There are fire extinguishers throughout the facility, which were charged and last serviced 9/2022. The activity schedule was posted throughout the facility. The activity rooms and common spaces appeared clean and in good repair.