Facility Evaluation Report

Licensing Program Analysts (LPAs) Cuadra and Contreras arrived unannounced to conduct an Annual Required Inspection and met with staff, Rosa Ascencio. Licensee, Leah Archer came to the facility and gave permission for caregiver to sign report. Annual fees are due today in the amount of $495, Licensee notified.

LPA/staff initiated a tour of the facility at 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Garbage cans located in bedrooms did not have a cover and room 1 had a smell of urine (technical violation issued). Water temperature in resident's bathroom measured at 105.6 degrees F which is within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required grab bars. Kitchen cabinet containing cleaning supplies was locked. Medications were centrally stored and locked. Fire extinguisher charged and serviced as of February 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have auditory alerts that were functional at time of visit. Last disaster drill was conducted on January 2025. Facility has at least two days of perishable and one week of non-perishable foods. LPAs had a discussion with licensee regarding the benefits of having more food supply (technical advisory issued).

At approximate 9:15am LPA/staff observed dry food containers did not have expiration dates.