Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:55AM. LPA was greeted at the door by staff and the reason for the visit was explained. Licensee, Tom Stiles arrived at 11:30AM. Entrance interview conducted.

At 11AM, the LPA along with staff, 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/LAUNDRY: The LPA inspected the kitchen/food service area at 11AM. 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 expiration dates; food labels had expiration date clearly marked. Knives and sharps are stored locked and inaccessible to residents in care. LPA observed the laundry unit by the kitchen. Detergents and solutions were locked inaccessible.

BEDROOMS: There are five (5) resident bedrooms of which four (4) are for private-use and one (1) is for shared-use. LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There is a staff room on premises.

RESTROOMS: There are three (3) restrooms of which one (1) is for private-use, and two (2) are for shared-use. Restrooms were clean and sanitary and in operating condition with grab bars and slip-resistant surfaces. Hot water temperatures were measured in restrooms and were between 105.3-109.8 degrees F, which is within the required range.