Facility Evaluation Report

At 09:45 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted a required annual visit to the above noted facility. The LPA met with staff and explained the reason for the visit. Administrator Cleofe Barretto arrived shortly thereafter and was explained the reason for the visit.

At 10:00 a.m. the LPA conducted a tour of the physical plant with staff to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of two (2) private bedrooms and two (2) shared bedrooms. Bedroom #1 and #4 have direct access outside. The LPA observed one (1) fire extinguisher which was fully charged and last purchased on 05/16/2024, during today's visit a new fire extinguisher was purchased. All smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings in the hallway near the entrance area.

Kitchen : The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility. Snacks and beverages are always available for the residents.

Bedrooms: The resident bedrooms were properly furnished with at least one chair, night stand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding.

Bathrooms: The LPA observed all bathrooms, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. At 1:50 p.m. water temperature in resident’s common restroom was measured at 109.6 degrees Fahrenheit. Report will continue on LIC809-C, 2nd page.