Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 10:20 A.M. LPA initially met with facility staff Magdalena Duya. Licensee/Administrator was contacted via telephone and arrived at the facility at 10:51 A.M. Entrance interview conducted.

Beginning at 10:52 A.M., the LPA, along with Licensee/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. This facility doesn’t have a staff room, facility will provide 24/7 care. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit.

OUTDOOR SPACE: The backyard has a covered outdoor area equipped with furniture for resident use. All exits and passageways were observed to be free of hazards. There were no bodies of water noted. Facility has two total gates; both were observed to be self-latching and closing with clear passageways for emergency exit use.

KITCHEN : Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Knives, staff and resident files and medication were observed to be locked inside kitchen cabinets at the time of the visit. At 11:23 A.M. hot water measured at 116.4 degrees Fahrenheit.

LAUNDRY ROOM/GARAGE: Adjacent to the kitchen is a separate laundry room and locked garage. Garage was observed and contained extra food, cleaning supplies and storage. Emergency food and water was observed. Cleaning supplies and hygiene products were observed to be locked in a cabinet and properly stored at the time of the visit.