Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection visit at 2:15PM and met with Director Justin Williams. LPA toured the facility inside and out with the Director to include the resident dining room, kitchen, resident bedrooms, bathrooms, and exterior. Facility temperature maintained at 75 degrees F. Facility staff are fingerprint cleared and associated to facility. All emergency exits were observed to be clear of obstruction.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature maintained at 35 degrees F and freezer maintained at -0 degrees F. LPA measured hot water temperature at 106.7. LPA observed medications were in a locked cabinet in the kitchen.

LPA Tarin toured resident bedrooms. 6 out of 6 resident bedrooms had functioning lights, storage space for personal belongings, clean bedding, a chair, lamp and dresser/table.

Fire extinguishers were last serviced on 10/28/2024. Facility smoke detectors functioned properly when tested. LPA observed the facility first aid kit and it was observed to be complete. The facility fire/earthquake drill log was reviewed and drills are being conducted quarterly. The last fire drill was conducted on 10/7/2024. Facility has emergency disaster plan.

LPA reviewed 6 resident records. LPA observed 6 out of 6 resident records as complete to include a physician's report ,TB result, updated appraisal/needs and services plan, identification and emergency contact information, personal rights, and consent forms.