Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived unannounced to conduct a one year required annual at 10:00 A.M. Upon arrival, the LPA was greeted at the door by caregiver, Marietta Acosta. The Administrator, Sara Jackson arrived shortly after and the reason for the visit was explained. Entrance interview conducted.

At 10:35 A.M., the LPA along with Licensee 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 observed:

KITCHEN : Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food at the time of the visit. All knives were observed to be locked in a kitchen drawer. At 11:00 A.M. hot water measured 115.4 degrees Fahrenheit. LPA observed a fire extinguisher fully charged and recently purchased on 08/02/2024. The facility has both smoke detectors and separate smoke detector/carbon monoxide detector, which were tested at 11:30 A.M. and were functional at the time of the visit.

BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 6 (six) total bedrooms. Room between kitchen and garage is designated as a staff room.