Facility Evaluation Report

icensing Program Analyst (LPA) Albert Johnson conducted an unannounced annual/random visit on this date. LPA met with Mary Baldwin.

LPA inspected physical plant including but not limited to kitchen, bedrooms, bathrooms, living and dining room area. LPA observed sufficient furniture and lighting throughout the facility.

LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 110 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers and smoke detectors are current and in compliance with fire safety. Carbon dioxide monitor present. LPA observed centrally stored medications. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed to the facility. First aid kit was checked and is complete. Fire drill was conducted 11/15/2021.

Per California Code of Regulations, Title 22 Division 6, Chapter 8, No deficiencies were observed and cited during this visit.

Exit interview held and a report given at the conclusion of the visit