Facility Evaluation Report

Licensing Program Analyst(LPA), Alviso conducted a Required - 1 Year Inspection, and met with Resident Care Coordinator(RCC), Karrie Hanna.

Currently twenty-seven(27) residents in care, and one(1) resident on Hospice. Facility specializes in dementia care. Hospice care waiver approved for eight (8) residents. Facility has a required infection control plan, which is part of the operation plan.

Fire clearance approval is for twenty-eight (28) non-ambulatory. All exits were cleared and free of obstruction. Fire extinguishers(5) are currently serviced and tagged as required- expires 7/14/23. Fire Department inspection completed on facility's fire panel on 3/16/23, passed inspection.

There was a sufficient supply of perishable and non-perishable food observed by the LPA. All utilities were observed on and to be working properly. Facility had a supply of food, water, and emergency items, to meet the 72 hour shelter in place requirement. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Facility has a sufficient supply of personal protective equipment(PPE) for use as needed. All bathrooms had grab bars, and non-slip flooring/mats for use as needed. Hot water was checked at 117.1F. which is within regulation of no lower than 105.F , and no higher than 120.F. Toxins are stored inaccessible and in care. Medications are stored locked making them inaccessible to residents, and staff that do not handle medications.