Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit and met with Administrator (ADM) Janessa Flores. LPA Rai observed 1 staff and 1 resident at the facility and 3 residents were attending day program.

During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas.

LPA Rai toured the resident bedrooms. 4 out of 4 resident bedrooms had available bedding, drawers, and functioning lights. Based on the review of the facility sketch submitted to the Department and today's observations, bedroom #1 has been converted to a living room and staff bedroom has been converted into the resident room. ADM will submit an updated facility sketch.

The facility bathroom had available soap, paper towels, and trash cans with lids. The water temperature in the bathroom sinks ranged from 106.4F - 118.4F. The water temperature in the kitchen sink was 121.5F.

Fire extinguisher was observed and bought new on 2/11/2023. Facility smoke detectors and carbon monoxide detectors were in working condition. The last disaster drill was conducted on 01/26/2024.

LPA Rai reviewed resident medications and central stored medication records.