Facility Evaluation Report

Licensing Program Analysts (LPAs) Angela Barutyan and Emily Peraldi arrived at the facility unannounced to conduct a required annual visit at 09:47AM. LPAs met with staff and Executive Director (ED) Trevin Willis and explained the reason for the visit.

Beginning at 12:48PM, the LPAs, along with the ED 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:

COMMON AREAS: Upon entry to the facility, there is a central entry point for check in with staff. There are no obstructions and/or tripping hazards throughout the facility. There are fire extinguishers throughout the facility, which are fully charged and last serviced 04/19/2024. Activities are offered and all activity rooms and common spaces appeared clean and in good repair. Fire alarm and sprinkler systems are tested annually and were last tested on 11/20/2023.

KITCHEN: LPAs inspected the kitchen at 01:09PM. The facility has a sufficient supply of 2 (two) days perishable and 7 (seven) days non-perishable food and an emergency water supply. Food was stored at appropriate temperatures. Appropriate hand washing signs were posted throughout the kitchen. Facility has a set menu and offers an alternate menu for residents. Food is prepared based on the resident’s diets. Snacks and beverages are available for residents throughout the day.

BEDROOMS : The LPAs observed 10 (ten) random resident bedrooms throughout the facility. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.