Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 08:50AM. LPA met with Licensee/Administrator Margarita Colon. Entrance interview conducted.

Beginning at 10:17AM, the LPA, along with Licensee/Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguisher is fully charged and purchased on 12/11/2023 . Carbon Monoxide detector was tested at 12:24PM, smoke detectors were tested at 12:25PM and all were functional at the time of the visit. No fire clearance concerns were observed.

KITCHEN : The LPA observed the kitchen to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of seven (7) days non-perishable and two (2) days perishable food. Cleaning supplies and sharps are located in a locked cabinet under the kitchen sink.

COMMON AREAS : This includes the living room, family room, and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. An adequately screened fireplace was noted in the living room. Exit doors contain alarms and were functional at the time of the visit.

BATHROOMS : There are two (2) bathrooms for resident use. Both are designated for shared resident use. Restrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed in the bathrooms. The water temperature was measured in one shared resident bathroom and