Facility Evaluation Report

Licensing Program Analyst (LPA) Zabel Chochian made an unannounced site visit to this facility for an annual inspection. Upon arrival LPA met with staff. Executive Director was contacted. LPA initiated that physical plant tour with the assistance of staff Zinnia Martinez. Required posting were observed in the hallway of main building. There is no body of water on premises.

The facility was inspected for Fire Safety, Personal Accommodations and Services, Food Service, and Medication Procedures. Facility is a 3 story building, with 3rd floor designated for the dementia care.

LPA observed the reception area, lobby, dinning room, kitchen and activity room located on first floor.

The kitchen was inspected for cleanliness and sanitary condition, perishable and non perishable food supply and food storage practices. The food supply was sufficient and observed were foods from all food groups available to meet requirements and/or resident preferences. Food storage and preparation area was inspected. Emergency food and water supply is sufficient at this time. Eight (8) Random units were inspected for safe accommodation. Hot water temperature was measured in random residences. Water temperature fluctuated thru out the facility between 111 and 118 degrees Fahrenheit during the tour. Residents’ bathrooms were observed stocked with sufficient soap, toilet paper and towels. Delayed egress exit doors tested and functioned properly on the 3rd floor Memory Care unit. Due to time constraints, LPA was unable to finish required annual inspection at this time. LPA will return on a later date to continue the annual inspection.

No deficiencies observed during todays visit. Exit interview held, and copy of the report provided.