Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 11:25AM. LPA met with staff and Administrator Jennifer Fernandez who arrived at 11:40AM. Entrance interview conducted.

Beginning at 11:28AM, the LPA, along with staff and Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN: LPA inspected the kitchen at 11:28AM. Knives and sharps are stored in a locked drawer. The facility has a sufficient supply of perishable and non-perishable food. Food was stored at appropriate temperatures.

BEDROOMS : The facility consists of seven (7) total bedrooms; six (6) are designated for single-resident use and one (1) is designated for staff use and is kept locked. Bedrooms #1, #3, #4, #5, and #6 have exits to the exterior. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, closet space, and sufficient lighting.

BATHROOMS : There are three (3) full bathrooms; one (1) in the main hallway and two (2) Jack and Jill's (between room #4 and staff room, and room #5 and #6) designated for residents, staff, and guests. LPA observed bathrooms to be clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. Hot water temperatures were measured in bathrooms and were between 112.8-117.7 degrees F, which is within the required range.