Facility Evaluation Report

Licensing Program Analysts (LPA'S) Kesha Lewis and Kimberly Viarella arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA'S were met by administrator. LPA'S explained the purpose of the visit to Administrator.

LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 136 bed facility with a current census of 73. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. Chemicals and medications noted to be locked to residents in care. LPA also conducted the care tool. No bodies of water were observed at the facility.

LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils.

The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point.