Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct the required annual visit at 10:45 A.M. When the LPA arrived, there was one (1) staff member and three (3) residents present. The LPA was greeted by Caregiver, Araceli Camarillo, and informed them the reason for the visit. Caregiver contacted the Administrator by phone, Sara Jackson. At 11:30 A.M., the Administrator arrived at the facility. During today’s visit, the administrator was required to attend an emergency and authorized the caregiver to sign today’s report on their behalf.

At 11:45 A.M., the LPA conducted a tour of the physical plant with the 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.

This facility doesn’t have a staff room; the facility will provide 24/7 care. The following was observed:

Kitchen : Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of seven (7) days non-perishable and two (2) days perishable food as well as emergency food. At 11:55 A.M. hot water temperature measured at 112.2 degrees Fahrenheit.