Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual. This annual had a specific emphasis on infection control practices and procedures. Upon arrival LPA met with Administrator Brandon Zinkofsky and explained the reason for the visit.

At approximately 12:30pm, 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. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was fully charged and last serviced in Jan 16, 2023.

Kitchen: LPA observed Kitchen to be inaccessible to residents at this time. The kitchen appeared to be clean and the appliances and fixtures functional. Properly labeled medications and sharp objects were observed to be locked in a cabinet to the right of the fridge. LPA observed a sufficient amount of perishable food stored in the fridge and non-perishable food properly stored in a pantry inside of the laundry room on the exterior of the kitchen. Laundry area located between living room and kitchen. LPA observed this room to be inaccessible to residents at this time. Cleaning supplies and detergents were observed locked in a cabinet below the water tank.

Bedrooms: There were (7) bedrooms total with (1) bedroom designated for staff use, which was located next to the kitchen. LPA observed staff room to be empty at this time. All bedrooms for clients use were properly furnished and had appropriate bedding and linens. At approximately 12:40pm, LPA observed (4) residents sleeping in their bedrooms.

Bathrooms: There were (3) bathrooms designated for clients' use. All bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was measured between 111 - 114 degrees Fahrenheit.