Facility Evaluation Report

Unannounced annual visit made out to this facility on 03/03/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility caregiver, Pamela Hightower, who was briefly interviewed at this time.

This LPA requested that she go ahead and contact the facility designated Administrator, Ashlynn Burch, to inform her that CCL was present at this time. The facility designated Administrator arrived later to this facility while this LPA was conducting this annual visit.

Current census was (9) residents, of which, (8) residents were out of the facility at this time attending their respective day programs.

It was learned that this facility was vendorized through Valley Mountain Regional Center (VMRC) to be able to accept and retain Level 2 residents at any given time.

Kitchen area was toured. Cabinets and drawers were reviewed to make sure that this facility had a sufficient supply of plates, dinnerware, and flatware in order to be able to meet the needs of the residents at this time.

Food storage units were observed to be present and in functional order at this time.

A review of the 2-day perishable and 7-day non-perishable food quantities was conducted and observed to be in compliance at this time.

Additional food storage units were observed to be present in other areas of this facility and found to be in compliance at this time.

Medication cabinets, located in the facility entry/laundry area, was toured. Medications were observed to be stored and made inaccessible to the residents at this time. A review of the facility Medication Administration Record was conducted at this time.

First aid kit was observed to be present and did contain all of the required components at this time.

Laundry area was toured. Cabinets housing detergents, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

Fire extinguishers, located throughout this facility, were observed to have been recently checked by the local fire extinguisher company, Jorgensen Co, on 01/24/2025 and in compliance at this time.