Facility Evaluation Report

Licensing Program Analyst (LPA) made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by facility staff. LPA explained the purpose of the visit. Administrator (AD) Mark Mendez was notified via telephone, and arrived shortly after to assist with the annual inspection. LPA Vanegas observed AD has a valid Administrator certificate. LPA began a tour of the facility and observed the following.

The facility is a one storied home with five bedrooms that are all utilized by residents in care. three bathrooms utilized by residents in care, staff, and visitors, and an attached two car garage. LPA observed kitchen to be clean and free any mildew and debris. LPA observed a two day supply on non-perishable food, and a seven day supply of non-perishable food on hand. LPA observed a dishwasher, microwave, gas stove, refrigerator, washer, and dryer to be in good condition and operational.

LPA Vanegas observed all fire extinguishers to be up to date and fully charged. LPA observed all smoke detectors and carbon monoxide detectors to be in good condition and operational. LPA observed all resident rooms to be clean, and free of any hazards. LPA Observed all rooms to have required furnishings such as a bed, chest drawers. a reading lamp, and enough storage space to store personal belongings. LPA observed facility bathrooms to have operational water faucets, and toilets. Bathrooms had required furnishings such as grab bars, a shower chair, and slip resistant floor matts. Hot water temperature tested between 112.2 and 114.3 degrees.