Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 9:50 A.M. When the LPA arrived, there were two (2) staffs and three (3) clients present. The LPA was greeted by Caregiver Fidel Francisco and informed the reason for the visit. Caregiver contacted the Administrator by phone, Sara Jackson. At 10:10 A.M., Administrator arrived at the facility.

At 10:15 A.M., the LPA conducted a tour of the physical plant with Administrator, to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit.

Kitchen : Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives were observed to be locked in a kitchen drawer. At 10:17 A.M. hot water temperature measured at 116.9 degrees Fahrenheit. Fire extinguisher is fully charged, and recently purchased on 08/02/2024. Combination smoke alarms and carbon monoxide detectors were tested at 10:49 A.M. and were operational at this time.

Bedrooms: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 5 (five) total bedrooms; 4 (four) are private bedrooms and one is designated as a shared room. LPA observed trash cans with out tight-fitted lids. No bedroom was used as a passageway to another room, bath, or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair.