Facility Evaluation Report

This is an Amended report from an Original dated report October 15, 2024.

On October 15, 2024, Licensing Program Analyst (LPA), Murial Han conducted an unannounced annual inspection. LPA was greeted by the administrator, Kelly Ancheta and lead staff, Arvin Mariano. LPA explained the purpose of today's visit.

LPA toured the facility inside and outside including the bedrooms (2 shared and 2 private rooms), 2 full- bathrooms, 1 half bathroom, kitchen, living room, dinning room and common areas. The facility observed to clean, tidy and in good repair. Bedrooms and bathrooms were equipped with the required furniture for residents to use. Facility temperature is comfortable. Hot water temperatures in the kitchen and bathroom was measured at 105- 108 degrees F. Food supply is adequate for 2-day perishable and 7-day non-perishable.

Central stored medication, toxins and sharps objects were observed to be locked and inaccessible to residents.

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last inspected on 4/8/2024.

LPA reviewed P & I records for 6 residents to be adequate.

A review of (6) resident files was conducted and noted on the LIC 858.

A review of (6) staff files was conducted and noted on the LIC 859.

Today's inspection there is no residents present as they are attending the day program.

This report is reviewed and discussed with the administrator.