Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation). LPA was greeted and granted entry by staff. LPA explained the reason for the visit. Administrator Dianna Manalo arrived at 1:25 PM. Facility has 5 bedrooms and 2 bathrooms. LPA and Administrator toured the facility. LPA observed all resident bedrooms had the required furnishings. All the bedrooms had enough space to accommodate each resident and their belongings. LPA observed both showers had anti-skid mats. LPA observed both bathrooms were clean and operational. LPA and the Administrator toured the garage. LPA observed the garage is used for storage and is inaccessible to residents. LPA observed the kitchen is clean and organized. LPA observed the gas stove top is operational. LPA observed there is a 2 day perishable food supply and a 7 day non-perishable food supply on hand. LPA observed the fire extinguisher in the kitchen is fully charged. The smoke/carbon monoxide detectors tested operational. LPA and the Administrator toured the backyard. No bodies of water observed. LPA observed a table under the awning with chairs for residents to sit outside. No obstacles or hazards observed in the backyard. The exit gate is operational. The first aid kit has all the required elements. The facility has a mitigation plan that has been approved. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.