Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 11:17 A.M. The LPAs met with Licensees Teresita and Larry Wayne and discussed the reason for the visit. At the time of the visit the facility has only one (1) resident. The administrator stated that they intend to close the facility and are seeking to have Resident #1 (R1) relocated.

The LPA, along with facility Licensee Larry Wayne, 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:

Fire extinguishers were observed to be fully charged but purchased on 08/06/2024. At 1:25 P.M. hardwired smoke detectors and a separate carbon monoxide detector were tested and were functional at the time of the visit.

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, the living room and dining room furniture was observed to be in good condition. The LPAs observed the required postings in the common area. The backyard was observed to be cluttered with multiple objects blocking emergency exit, however, the licensee stated that R1 does not utilize that area. There were no bodies of water noted. The garage was observed locked and is also used as a storage room.