Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a required annual visit at 11:00 a.m. LPA met with Licensee/Administrator Janette Villapando and explained the reason for the visit.

At 11:10 a.m. LPA conducted a physical plant tour inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Fire extinguishers are fully charged and last serviced 5/15/2023. The smoke detectors and carbon monoxide detectors are combined units; they were tested and functioned properly. The facility has a fire door in the hallway which also functioned properly. 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 perishable and non-perishable food and water. Cleaning supplies are located in separate locked cabinets with additional supplies in the locked garage.

COMMON AREAS : This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. Exit doors contain alarms and were functional at the time of the visit.

BATHROOMS : There are two (2) bathrooms for resident use. One is located in a shared bathroom and one is a shared bathroom located in the hallway. Bathrooms were observed to be equipped with nonskid surfaces and grab bars. The water temperature measured 105*F which was within the required range.

BEDROOMS : There are four (4) private bedrooms and one shared bedroom. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.