Facility Evaluation Report

Licensing Program Analyst (LPAs) Michael Hood and Marisa Chiarelli arrived at the facility and met with Administrator, Doris Espinoza, to conduct a case management health and safety check.

LPAs conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and two (2) bathrooms for resident use. LPAs observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. LPAs checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPAs observed the backyard and perimeter of the care home to be free of clutter and debris. LPAs observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use.

LPAs checked two (2) residents' medications and observed medication to be locked and inaccessible to the residents in care. LPAs reviewed six (6) resident records and three (3) staff records. LPAs observed that all records were complete and staff training was complete. LPAs observed staff on the premises to have a criminal background clearance on file.

As a result of today's inspection, no deficiencies are being cited. Exit interview was conducted and a copy of this report was provided. Signature on these forms acknowledges receipt of these documents.