Facility Evaluation Report

Licensing Program Analyst (LPA) Bruce Jacobs arrived to conduct an unannounced Annual inspection on this date. The Administrator for the facility, Dawn Shimel, was informed of the purpose of the visit and Maria Brown able to assist with the completion of the inspection focusing on the facility's infection control procedures for this adult day program. LPA also met with Memory Care Coordinator Maria Brown as well. At this time, the day program is not operating and there are no clients in the program. the facility is having a meeting the following week to determine the plans for the program and will inform Licensing after that meeting. The Residential Care Facility for the Elderly has submitted a mitigation plan and an updated plan for the day program will be submitted as well. Facility agreed to advise Licensing when the program opens again, possibly this summer.

LPA toured the facility. Smoke alarms are hard wired into the building and are operable. Facility has smoke detectors and heat detectors and built in sprinklers.Water temperature was measured at 118.5 degrees F.

LPA observed the following posted in the facility: See Something Say Something complaint poster, Reporting Requirements per AB40, Resident Bill of rights, Resident Personal Rights, Evacuation Routes and facility license were all posted as required.

Exit interview held with Maria Brown and a copy of report given at the conclusion of the visit.