Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today at 9:20 a.m. The last annual conducted at this facility was on 09/30/2022. When the LPA arrived, there were three (3) staff and five (5) residents present. The LPA was greeted at the door by staff Cristina Santos and the reason for the visit was explained. The Administrator, Michelle Maurer and the Licensee Representative, Razi Hashemi arrived shortly after. Entrance interview conducted.

At 9:45 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 9:54 p.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 and food labels had expiration date clearly marked. The knives and sharps are stored in a cabinet next to the stove inaccessible to residents in care. At 10:04 a.m., the water temperature was tested in the kitchen faucet, and it measured 122.9 degrees Fahrenheit.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector are hard-wired and were tested and operational at the time of the visit. The fire extinguisher was observed to be purchased on 09/21/2023.