Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 10:10 A.M. LPA met with Licensee/Administrator Janette Villapando and explained the reason for the visit.

At 10:25 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 07/19/2024. At 11:00 A.M. the smoke detectors and carbon monoxide detectors are combined units; they were tested and functioned properly. The facility has two (2) fire doors to enhance safety and prevent the spread of fire. One in the hallway and one in room #1. LPA observed hallway fire door functioning properly. T his facility doesn’t have a staff room, facility will provide 24/7 care.

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. LPA conducted a review of expiration dates on product labels. The LPA observed that four (4) items were past their expiration date. Administrator discarded all four (4) items during today’s visit. Technical Violation Issued. LPA observed sharps and knives locked in a kitchen drawer. At 10:35 A.M. hot water measured at 115.6 * F. Cleaning supplies are located in separate locked cabinets with additional supplies in the locked garage.

Garage/Laundry room: Inside the locked garage, LPA observed the washer and dryer, emergency water and emergency food, cleaning supplies and disinfectants. The Garage remains locked and inaccessible to the residents in care.