Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced annual visit to this facility at 10:00 a.m., LPA met with backup Administrator Harold De Guzman. Administrator was contacted via telephone and arrived at 11:09 a.m. Entrance interview conducted.

Beginning at 11:12 a.m., the LPA, along with 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:

BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three (3) total bedrooms, all of which are designated for shared resident use, at the time of the visit only Room #1 is being shared. During the physical plant tour, LPA observed trash cans not to have appropriate waste receptacle with a tight-fitting cover. LPA explained to Administrator the importance of such lids to prevent cross contamination.

RESTROOMS: The LPA observed two (2) restrooms in the facility; one (1) is a shared restroom, and one (1) is a private restroom. Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Between 11:38 a.m. and 11:45 a.m., hot water was measured. All bathrooms were within the required limit of 105-120 degrees Fahrenheit.