Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual inspection. LPA met with Administrator Pearl Ofodire, and explained the purpose of the visit.

LPA completed the infection control tool. LPA and facility staff toured the facility to ensure compliance with Title 22 regulations. LPA was later met by Administrator Pearl Ofodire. LPA observed the resident bedrooms. The bedrooms were observed to have necessary furniture and furnishings. The rooms were organized and free from debris. The bathrooms were observed to be clean and free from debris. The hot water measured at 118.3*F, which is within the regulatory range. Common areas were also observed to be organized and clean. The facility is equipped with an emergency supply of food and water, a supply of perishable foods for seven days, and a supply of non-perishable food for a minimum of two days. Fire extinguishers were observed to be in working condition and up to date. Medications, sharps, and cleaning supplies were observed to be locked away and inaccessible to residents in care.

LPA requested the following documentation be sent to the Regional Office: LIC 500 Personnel Summary. All other forms were obtained prior to inspections.

No deficiencies were observed during today's visit. An exit interview was held with Administrator Pearl, and a copy of the report was provided.