Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:45 a.m. The entrance to the facility is on the side of the home. Upon arrival, LPA Mosley was greeted by staff and called the administrator to inform them of the visit. The administrator was not available to attend and designated staff to sign. The LPA met with staff / caregivers Herminia Anaen and Nicole Mayernik and explained the reason for the visit. The 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.

KITCHEN: The kitchen and food storage areas were observed. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food stored in the kitchen. Cleaning supplies and items that could pose a danger were secured in locked cabinets. The facility has a supply of emergency food and water. The hot water temperature was measured at 114.4.F at 10:26 a.m. which is within the required range.

COMMON SPACES/ BACKYARD: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture appear to be in good condition. The fire extinguishers appeared to be fully charged and were last inspected 10/09/2024. The smoke and carbon monoxide detectors were tested at 11:41a.m and functioned properly during the visit. The last emergency disaster drill took place on 08/06/2024 and conducted quarterly. Activities were observed in the common areas. Laundry is located outside in the secondary fenced backyard. Laundry soap is stored in a locked cabinet next to the laundry area. The backyard has a covered patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed one (1) self-latching gate. There were no bodies of water noted at the time of the visit.