Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Administrator, Aron Oda, who was informed of the purpose of the visit. At the time of the visit there was two () 3staff and five (5) residents present.

The facility is a two story home, three (3) bedrooms and one (1) bathroom downstairs are designated for residents on the first floor. No pool or firearms are present.

Infection Control: LPA observed hygiene supplies, PPE equipment, and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training.

Physical Plant: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards with outdoor furniture and shaded area for residents. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to the residents. The smoke detector and carbon monoxide was operational, and the hot water temperature 105.2F.