Facility Evaluation Report

On 10/27/22 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1-year annual visit. LPA Jensen met with Administrator Whitney Montijo and explained the purpose of today's visit. Whitney holds a current Administrator certificate # 6053647735 which expires 9/13/2023.

LPA Jensen toured the facility with the administrator including 4 bedrooms, living room, kitchen, office, 2 bathrooms, laundry room and grounds. There are currently 3 residents. The grounds were clear of obstruction and well maintained. Patio furniture and a stationary bicycle was observed in the backyard for use by the residents. There are no bodies of water on the property.

The interior of the facility was observed to be sanitary and free of odor. The LPA was screened for COVID-19 upon entering and signed in. All required signs were posted in prominent areas in the facility. There was adequate furniture and lighting observed throughout. Night lights are available in the hallways. An ample supply of linen was available. LPA Jensen observed the medication to be locked and inaccessible to residents. The knives, sharp objects and toxins were also locked and inaccessible to residents. The facility keeps a supply of emergency food and medical supplies on hand with every item logged and a corresponding expiration date. Their are 3 first aid kits on hand and the first aid kits were observed to be complete. The fire extinguisher was last serviced in October of 2022 and is in compliance. The fire alarm and carbon monoxide detectors were tested and found to be in good working order. The facility conducts and logs fire drills every month.

There were numerous activities observed that are available for the residents. LPA Jensen observed in excess of a 2 day supply of perishable food and 7 day supply of non-perishable food. All food is labeled with expiration dates. The facility administrator was preparing spaghetti and taquitos for a holiday party that was taking place this evening.