Facility Evaluation Report

On 09/28/2023, Licensing Program Analyst (LPA) Brian Phillips arrived at the facility unannounced to conduct an Annual facility Site Inspection Visit. LPA met with Administrator Sylvia Solorio, and announced the purpose of the visit. LPA initially arrived at the facility at 10:00am, but there were no Staff or residents present at the facility at that time due to a resident dental appointment. LPA waited until Staff members and residents were present to begin the annual required 1 year facility site inspection.

The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. This is an Adult Residential Facility (ARF) consisting of 4 bedrooms, (3 residents have single rooms, 1 staff room) 3 restrooms, a kitchen, dining room, 2 living rooms, 1 Central Medication room/closet (where medications are centrally stored and locked), 2 storage rooms, and a garage which also serves as a storage area for the facility. This facility is approved for an age range of 18 years old to 59 years old, and for 4 ambulatory residents only.

KITCHEN: The LPA inspected the kitchen/food service area and observed that knives/sharp instruments are stored in locked drawers inaccessible to residents. Kitchen appliances were in operable condition and looked clean/in good repair. The LPA observed perishable items in good condition, with proper expiration dates precluding the perishable items from expiring. The facility has a sufficient supply of perishable and non-perishable food, which would last over a week (7 days). Additional perishable food items were maintained in storage area in the garage of the facility as well as in extra refrigerator and extra freezer located in the garage of the facility. The hot water temperature was measured in the kitchen at an appropriate temperature as per the regulation between 105-120 degrees Fahrenheit. Items that could constitute a danger to residents are kept inaccessible to residents in the kitchen area. The kitchen was clean and sanitary, with covered trashcans and operating ventilation systems. No toxic substances are stored in any food preparation or storage area, and all cleaning supplies for the kitchen are kept in a separate area than the food supplies. The freezer and refrigerator were both in the appropriate temperate Fahrenheit. Continued on 809-C