Facility Evaluation Report

Licensing Program Analysts (LPA) Amy Rodgers, made an unannounced visit to continue the required One-Year Inspection to ensure substantial compliance with Title 22 regulations. LPA Rodgers was granted entry after identifying herself and stating the purpose of the inspection Amsal Engdaw Administrator.

A tour of the facility was conducted which included a sample of resident units, the dining area, common gathering areas, and food storage areas. There are no water features on site. Each resident had clean and sufficient bed linens. All residents’ rooms were equipped with the required furnishings. Residents’ bathrooms were observed to be sanitary and operational. Showers were equipped with grab bars. Hot water temperature in residents’ bathrooms were compliant.

The facility is operating in accordance with their fire clearance. The smoke and carbon monoxide alarms were present in the building. Emergency lighting, and facility telephone were all working. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. PPE supplies are on site. Indoor passageways were free from obstructions.

Food was observed to be properly labeled. The food service area was observed to be neat and clean. Food menus and activities schedule were posted. Centrally stored medications were properly stored and locked in a medication cabinet. Medications were labeled and kept in compliance with label instructions.