Facility Evaluation Report

At approximately 1:40 PM on 06/12/2024, Licensing Program Analyst (LPA) Stefanie Mutialu made an unannounced annual required inspection of this licensed senior care facility. LPA was greeted by caregiver, Mildred Mamaradlo, Caregiver. Administrator, Donnabell is out of the country. The facility is a single story home licensed for six (6) non-ambulatory residents and hospice waiver capacity of two (2). The facility currently provides care for six (6) residents. Six out of six residents were at home and six out of six residents were eating or watching television for leisure. In addition, there are six (6) residents with a diagnosis of dementia and one resident on hospice.

At approximately 2:00 PM, LPA and caregiver toured the building and grounds which was found to be clean and in good repair. All notices that are required to be posted have been posted and are in a highly visible area. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Toxins are stored in a locked cabinet in the facility laundry room and kitchen .LPA observed insect killer in backyard accessible to residents. Sharps and other kitchen supplies that could pose danger if available to residents were found secured in the kitchen cabinet. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings.

Water temperature measured within regulation between 111 and 114 degrees F at six of six faucets accessible to residents. One of One Fire extinguisher inspected was charged. Four of four Smoke detectors and One of one Carbon Monoxide detector was present and inspected. Disaster Drills are conducted quarterly with the last drill conducted 06/2024. There was enough lighting in all common areas, resident rooms, and hallways. LPA to continue annual at a later date.