Facility Evaluation Report

Licensing Program Analysts (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPA Rodgers was granted entry into the facility by Interim Executive Director (IED), Thais Andrade Souza, after identifying themselves and stating the purpose of the inspection. This facility serves one hundred and twenty (120) residents 60 and above; all may be non-ambulatory and fifteen (15) may be bedridden.

LPA was accompanied by IED, Souza during a tour of the facility. A tour of the facility was conducted which included a sample of resident units, the dining area, recreation rooms, and food storage areas. Signal systems are in place and operational. PPE supplies are onsite. Passageways were free from obstructions. According to IED, Souza, there are no weapons and/or ammunition stored on the premises. There are no pools or bodies of water on the premises. Facility does feature delayed egress doors as well as a locked perimeter in Terrace level (Renaissance Unit).

Each resident had clean and sufficient bed linens. All extra linens towels, and washcloths are stored in locked closet. All residents’ rooms were equipped with required furnishings. Lighting was present in the bedrooms. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars and anti slip floors. Hot water temperature in residents’ bathrooms were compliant.

Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were in working order. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility.