Facility Evaluation Report

At approximately 9:25 AM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a required 1-year annual inspection and met with Administrator Davina Barker. Facility is a Residential Care Facility for the Elderly (RCFE) with thirty-seven (37) residents in care. Facility has a Hospice waiver for seven (7) and is approved for twenty-eight (28) ambulatory and fifty-five (55) non-ambulatory residents. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation.

At approximately 10:00 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a four (4) story building, was a comfortable temperature, and passageways were free from obstructions. The fourth floor consists of independent living and is not under the purview of Community Care Licensing (CCL). Fire extinguishers were last inspected 10/25. Smoke and Carbon Monoxide detectors are hardwired and last inspected 10/25. Water temperature in a spot check of ten (10) resident sinks and one (1) hallway sink measured between 106.1- and 119.6 degrees F, which is within the allowable range of 105- to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Spot check of ten (10) Residents' bedrooms were observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered.