Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by co-Administrator Mercado "Alfonso" Galvez. Administrator Kennedy Wainaina arrived later.

At approximately 9:30am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms except room #6 were clean and in good repair. Room #6 has a pervasive urine incontinence odor that is noticeable throughout the facility as well as specifically in room #6 . LPA and Admin discussed on going issue of incontinence odor present in facility due to R6 persistently urinating on their carpet in their bedroom ( deficiency cited, see 809D ). LPA asked Admin about using chucks on the floor or pads designed to collect urine, but Admin advised LPA that R6 refuses to have those on the floor and Admin advised using chucks would pose a slipping hazard. LPA and Admin discussed replacing carpet with faux wood flooring or flooring that is designed to be waterproof like linoleum so that the urine can be cleaned easily and often. Admin is already using rubber-backed mats to try and mitigate urine from further soaking in to the existing carpet. Admin washes carpets during the day for use at night, as it is during this time that R6 urinates on the carpet. LPA and Admin discussed continuing to use rubber-backed mats to mitigate and/or prevent R6 from slipping.