Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 9:30 a.m. The LPA met with Administrator Jennifer Shaffer and explained the reason for the visit.

The LPA,and staff toured the physical plant areas at 9:45 a.m. inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

BEDROOMS: The LPA began the inspection in bedroom area at 9:45 a.m. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are four designated client rooms and one staff room. There was a linen closet in the hallway with extra towels and linens. The LPA observed accessible over the counter medications and prescription medications in a box in bedroom #4.

RESTROOMS: The two client restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured in the hallway restroom at 118.2 degrees Fahrenheit. Accessible prescription mouthwash was observed by the LPA at 9:51 a.m. and unlocked cabinet in the hallway bathroom, cleaning supplies and hygiene items were observed to be unlocked under the kitchen sink. Accessible cleaning supplies were observed in bathroom inside bedroom #4. All accessible items were locked at the time of the visit.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable food and non-perishable food. At 10:05 a.m., the LPA and the Administrator observed expired grape juice dated 5/4/2023, exposed bag of powdered mash potatoes with unverifiable expiration date, exposed pancake mix with unverifiable expiration date, moldy broccoli in the refrigerator along with expired tomatoes, cabbage, exposed cut vegetables, open bag of frozen shrimp with freezer burn, open bag of frozen waffles with freezer burn, and exposed frozen meats with freezer burn. Continues on LIC 809C...