Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 11:15 AM. LPA met with facility staff who contacted the facility Administrator Tina Marie Martinez and Licensee Representative George Yazbek. The Licensee Representative arrived to the facility at 11:22 AM and the Administrator arrived to the facility at 11:25 AM. Entrance interview was conducted and the reason for the visit was explained.

Beginning at 11:23 AM the LPA, along with the Licensee Representative and later the facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

COMMON AREAS : This includes the living rooms, hallway, and dining area. LPA observed the living rooms to be clean and properly furnished at the time of the visit. The living rooms contained activities for resident use including a television. The living rooms contained an appropriately screened fireplace, locked cabinets, and drawers which contained resident medications and resident, staff, and facility files. LPA observed the living rooms to contain a complete first aid kit and the facility’s telephone. The hallway was observed to be clean and free from any obstructions. The hallway contained closets that contained storage for linens and care supplies. The dining area was observed to be equipped with adequate seating for resident use. The common areas contained all required postings. The facility’s fire and carbon monoxide alarms were tested between 12:35 PM and 12:37 PM and were functional at the time of the visit. All exits in the facility were observed to contain functioning auditory alarms. Continued on LIC 809C.