Facility Evaluation Report

Licensing Program Analyst Shawna Doucette (LPA) arrived at the facility unannounced to conduct a Required Annual inspection. LPA was met by Lead Staff Lexi Rankin and was granted entry into the facility. Administrator Rudy Amaya responded to the facility to assist with the visit.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Facility was set at 72 F. Common areas were furnished well with adequate seating and lighting available. Facility has 4 bedrooms. Facility has a living room and an activity room. Kitchen toured, appeared clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 108 degrees F. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching and goes out to an alley.

Fire extinguisher serviced on 12/28/2023. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Fire alarm is hard wired with sprinkler system. Facility has a pull station fire alarm. Last fire drill conducted 3/14/2024. All cleaning supplies are locked and secured in a closet. Medications were locked in a medication cart in the office.

Facility has a pool which was being serviced during the visit. LPA observed a lock on the gate to make the pool inaccessible to residents.

Medications were reviewed. Staff files and Resident files were reviewed.

An exit interview was conducted with the Administrator and a copy of this report was provided.