Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 2:57PM. This annual had a specific emphasis on infection control practices and procedures. The LPA met with backup Administrator Janette Villapando and discussed the reason for the visit. Licensee Bernadette Abiera arrived at the facility at approximately 3:30PM.

At 1:58PM, the LPA, along with backup Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common area.

The backyard has a covered outdoor area equipped with furniture for resident use. There were no bodies of water noted. The garage was observed locked and contained the laundry area, as well as emergency food supply, PPE supply, and storage.

Three (3) fire extinguishers were observed to be fully charged and last serviced on 07/15/2021.

KITCHEN : Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives and cleaning supplies were observed to be locked and properly stored at the time of the visit.

BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 6 (six) total bedrooms; 5 (five) are designated as resident rooms - 1 (one) shared and 4 (four) private and 1 (one) is designated as a staff room.