Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 11:51 AM. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Program Director/Administrator Roxana Esquivel. Entrance interview conducted.

The LPA, along with facility 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:

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room, recreation room, and therapy room furniture was observed to be in good condition. The LPA observed the required postings in the common area. LPA observed the fireplace in the living room, which was observed to be adequately screened.

The backyard has a covered outdoor area equipped with furniture for resident use. There were no bodies of water noted. The facility laundry area was observed. All chemicals, including laundry detergent, are stored in a locked closet.

3 (three) facility fire extinguishers were noted to be charged, but last annual service was performed on 06/04/2020.

KITCHEN : The facility does not contain a full kitchen, only a kitchenette. The kitchenette consists of pantry and dry food storage area, refrigerator and freezer. As such, the facility does not contain 7-day supply of perishable and 2-day supply of non-perishable foods. Program Director indicated facility food for lunch and dinner is stored and prepared off-site. Breakfast is prepared in the kitchenette and snacks are available throughout the day for clients.