Facility Evaluation Report

LPA Marrufo conducted an unannounced Required 1 Year visit and met with Administrator Bill Sanchez.

During visit, LPA Marrufo toured the facility inside and out. LPA toured the kitchen area and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days.

LPA toured two out of two resident bathrooms. Each bathroom had working lights and available soap and paper towels. The water temperature in the bathroom sinks measured at 111 F and 113 F.

LPA Marrufo toured four out of four resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. LPA tested the smoke detectors in the hallways and each resident bedroom. Each smoke detector functioned properly when tested.

During visit, LPA toured the outside area and found the exits to be clear of obstructions.

LPA reviewed six out of six resident records, including Centrally Stored Medication and Destruction Records, and found them to be complete. LPA reviewed six resident records and found them to be complete.

See LIC809-C page for more information. Page 1 of 2.