Facility Evaluation Report

Licensing Program Analysts (LPA) JoAnn Rosales arrived at the facility to conduct a Post Licensing visit. LPA met with staff Nicole Zanders - Executive Director who is authorized to review and sign reports.

LPA 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.

Today's evaluation included but was not limited to building and grounds, resident rooms, bathrooms, common areas, personal accommodations, hot water temperature (read at 108, 77.9 and 118.4 degrees F) in resident bathrooms, kitchen and food supplies. There is an adequate amount of perishable and nonperishable foods. First Aid kit is complete. Grab bars were present in the bathrooms. LPA observed appropriate and sufficient lighting in each room. Hygiene items are being provided. LPA observed signal system which operates from each resident room. Staff Zanders was unable to test smoke alarms during facility visit however, LPA observed working smoke alarms during Pre-licensing visit of 9/30/21. Carbon monoxide detectors were tested and operable. LPA observed a 30 day supply of PPE. LPA reviewed a sampling of resident records.

During facility tour with staff Zanders on 4/21/22 at 10:15 am LPA observed video camera's located in the common areas inside the facility. LPA advised staff that they would need to include the use of video camera's in their plan of operation and admission agreements.

During facility tour with staff Zanders on 4/21/22 at 10:45 am LPA observed hot water temperature read at 77.9 degrees F in room #3's bathroom.