Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year visit, on 3/28/24 at approximately 12:40pm, and met with Licensee/Administrator Mera Shaughnessey. There currently are five (5) residents in care.

Facility has an approved dementia plan of operation. There is an approved hospice waiver for three(3)residents. Facility has a required infection control plan. Facility has an emergency and disaster plan as required. The facility conducted a fire drill and earthquake drill on 1/5/24. Facility does have a generator for emergencies if needed. The facility does have emergency food, water, and supplies to meet the "72 hour shelter in place" requirements.

LPA reviewed five (5) resident files. All files were complete.

The LPA reviewed five (5) staff files. All staff have criminal record clearance. All staff have current first aid and CPR certification as required.

The LPA toured the facility with the Administrator Mera. The hot water was checked at 117. degrees Fahrenheit , which is within regulation. The fire extinguishers were tagged and serviced as required-expires 12/28/24. All exits were unobstructed. Food supply was sufficient. All bathrooms have grab bars, and the large shower room and private shower bathrooms have mats for resident use. The facility is well lighted, including all resident rooms and bathrooms. The facility was observed to be warm and at a comfortable temperature. Cleaners/toxins were locked and inaccessible to residents in care. All medications were locked up and not accessible to residents in care. Facility had sufficient furnishings for client use.