Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway conducted a required annual inspection today at 9:30 A.M. The LPA met with Administrator McKian Nielsen and the reason for the visit was explained. Entrance interview conducted.

At 9:40 A.M., the LPA along with the 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:

KITCHEN: The facility is equipped with two separate kitchens. Both kitchens were equipped with fixtures and appliances that appeared clean and functional. The first kitchen observed is for resident use. The refrigerator was observed with resident’s snacks and leftovers. The second kitchen is for staff use and daily cooking. There was an adequate supply of perishable and nonperishable foods. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. Knives and sharps were observed in a locked pantry at the time of the visit.

BEDROOMS and BATHROOMS: There were 15 bedrooms designated for resident use. Each resident bedroom includes an individual half bathroom. LPA observed seven (7) randomly selected bedrooms including the half bathroom. Bedrooms were observed to be designated for single occupancy and were properly furnished, including adequate supplies of bedding and linen, with sufficient lighting. All bathrooms observed were adequately supplied with required paper products and soap.