Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff member Paulo Ngriaki. S1. S1 contacted ADM Marquez and she confirmed that S1 could sign the report on her behalf.

LPA toured the facility inside out with S1 which included; the Living room, kitchen, two restrooms and 3 residents bedrooms. The staff areas of the facility was also inspected. Front yard and backyard were inspected. There was no obstruction to block the walkways.

While touring the outside of the facility, at 12:33pm, LPA observed a can of Kingsford lighter fluid, next to a green Kingsford barbecue lighter. LPA asked S1 what that was doing there. S1 said they sometimes have barbecues. LPA asked picked up the container and confirmed the container did have lighter fluid inside.

While touring the hallway bathroom. LPA observed the bathroom window without a screen. LPA also observed a hole in the hallway bathroom wall. LPA observed the bedroom 4's private bathroom window to have a screen, but contains cobwebs. While touring Bedroom #2, LPA observed a hole in the wall the size of the door knob. While touring bedroom #2, LPA observed the sliding screen unattached.

Two day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degree F, and hot water temperature was measured at 107 degrees F in both resident bathrooms.