Facility Evaluation Report

Licensing Program Analysts (LPAs) Trevor Byrne and Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:05AM. LPAs met with Licensee/Administrator Eugenia Abrigo. Entrance interview conducted.

Beginning at 10:15AM, the LPAs, along with Licensee/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:

Fire extinguishers are fully charged and recently serviced on 05/16/2024. Smoke and carbon monoxide detectors were tested at 11:11AM and all were functional at the time of the visit.

KITCHEN : Kitchen was observed to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of 7 (seven) days non-perishable and 2 (two) days perishable food. Knives were observed to be locked in a cabinet above the stove. The stove did not have knobs and was free of safety and hazard concerns. Cleaning supplies are located in a locked under-sink cabinet. At 10:18AM, LPAs began checking the food supply in the kitchen pantry. A total of 11 (eleven) cans were found to be expired and/or dented, making them unsafe for consumption. The LPAs observed the temperature of the freezer to be set at 8 degrees Fahrenheit, but food items in the freezer were thawed and room temperature. Staff 1 (S1) disposed of all expired/dented cans and the full contents of the freezer. Facility does not have an adequate emergency water supply.

BEDROOMS : There are 7 (seven) total bedrooms in the facility; 6 (six) are designated as private resident rooms and 1 (one) is utilized as a staff room. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. At 10:54AM, staff room was observed to be unlocked and contained unsecured cleaning supplies and medications, making them accessible to residents.