Facility Evaluation Report

Licensing Program Analysts (LPAs) Ivan Avila and Kerry Hiratsuka arrived at the facility unannounced on 4/13/23 to conduct a Annual Inspection. LPAs met with Administrative Assistant Naitasha Peerman and were met later in the visit with Jennifer Boss and explained the purpose of the visit.

LPAs toured the interior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, 5 resident bedrooms, bathroom, kitchen, and medication room. LPAs observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. LPAs observed sufficient 2+day perishable and 7+day non-perishable supply of food and sharps to be locked. In the areas toured no immediate health, safety, or personal rights violations were observed.

LPAs compared ordered medication to medication being given for 1 client and found no discrepancies. LPAs reviewed 3 staff files and found them to contain current First Aid and training. And review 3 resident files.

Exit interview conducted and copy of report left at the facility.