Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara conducted an unannounced Required 1 Year inspection at the facility today. The LPA met with Administrator Arlene Martinez and explained the reason for the inspection. When the LPA arrived there were two staff and four residents present. There is currently two residents receiving hospice care services.

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: LPA inspected the kitchen at 9:25 a.m. Knives are locked in a drawer and cleaning supplies are stored inaccessible in a locked cabinet. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food and food was stored at appropriate temperatures.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested at 10:05 a.m. and operational at the time of the visit. There are two fire extinguishers fully charged and last serviced 5/26/2023. The LPA observed required postings throughout the common space. No bodies of water noted. The facility has one common restroom and two private restrooms for client use. Restrooms were observed to be clean and sanitary with hand soap and paper towels. The hot water temperature measured at 106.8 degrees F. The garage is where the washer and dryer are held, including additional non-perishable food items and perishable food items in an additional refrigerator. Infection control practices were discussed. The facility has a sufficient supply of Personal Protective Equipment (PPE).