Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced case management - legal/non-compliance visit (NCC) and met with Administrator/Licensee (ADM/LIC) Bernellet Taa.

The purpose of the visit is to ensure the facility is adhering to the compliance plan submitted to Community Care Licensing (CCL) after a non-compliance meeting held on 07/26/2024.

During visit, LPA toured the facility inside and outside and accompanied by ADM/LIC the living room, kitchen, dining room, 3 resident bedrooms, resident bathroom, staff room, Administrator's office, garage, and backyard. No cameras were observed inside the facility. The interior of the facility is maintained, organized and sanitary. LPA observed 1 caregiver/staff (S1) working in the facility upon arrival and observed 2 residents watching TV. The exit door leading to the backyard and entrance door observed with a door alarm. Staff demonstrated how to operate the door alarms, in which LPA observed the alarms were in good working condition. The facility has no surveillance camera outside.

LPA reviewed the facility scheduled activity calendar with corresponding activities for each day of the week. LIC/ADM stated 2 Out of 4 residents are able to leave the facility unassisted, are able to drive and have valid driver licenses. 1 Out of 4 likes doing indoor activities and walks around the neighbor. 1 Out of 4 is accompanied by his/her family member and walks around the neighborhood. Activities listed on the calendar are to promote the resident's mental, emotional and social functions of the residents in care.