Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:04AM. LPA met with staff and Licensee/Administrator Susan Caldwell who arrived shortly thereafter. Entrance interview conducted.

Beginning at 10:06AM, the LPA, along with staff, 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/LAUNDRY: Kitchen appliances appeared clean and were in operable condition at time of visit. Facility had a sufficient supply of perishable and nonperishable food. Food labels were inspected and checked for expiration dates. Knives and sharps were stored locked in staff bathroom by kitchen. Cleaning supplies, washer and dryer, and detergents were located in the locked laundry room adjacent to the kitchen.

BEDROOMS : There are five (5) total bedrooms in the facility; four (4) are designated as private resident rooms and one (1) is a shared resident room. Bedrooms #1, #3, #4, and #5 have direct exits to the exterior. LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting . LPA observed four (4) out of five (5) bedrooms equipped with surveillance cameras that do not record audio. Administrator indicated that the cameras were installed with resident/responsible party(ies)’ consent.