Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required -1 Year inspection at the facility today. The LPA met caregiver Veronica "Jam" Decano at 10:57 AM and explained the reason for today's visit. Administrator Barbara Browning was contacted at 11:00 AM but stated she was unable to come to the facility for today's inspection. At 11:02 AM, the LPA, along the caregiver, 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/Dining area : The LPA began touring the dining and kitchen area. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food stored in the kitchen and in the garage. There is sufficient seating for resident dining. Knives and sharp items are locked in the garage. Cleaning supplies are stored in a locked cabinet under the sink and in locked cabinets in the garage.

Common Areas: The living room area has sufficient seating for the residents and was free of obstruction. Medications are in a locked cabinet in the living room. Beginning at 11:20 AM, the carbon monoxide detector in the hallway and the smoke detectors in the resident bedrooms, living room, and staff room were tested and operational. The hallway was missing a functioning smoke detector. Staff stated the smoke alarm recently broke and was removed from the hallway ceiling. Staff replaced the battery in the detector during the inspection but it still not functioning properly. The backyard has seating for resident use and was free of obstruction. Extra Hygiene items were observed locked in the garage. Fire extinguisher is fully charged and last serviced 02/24/2021.

Common Restroom : There is one common hallway restroom for resident use. The hot water temperature measured at 116.6 degrees F. The restroom floor, walls, toilet, and shower were found to be visibly dirty and the bathroom smelled like urine. Report continued on LIC 809-C.