Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced Required 1-Year inspection. This annual had a specific emphasis on infection control practices and procedures. LPA met with Licensee/Administrator Grace Catabay at 1:12PM. Entrance interview conducted.

The LPA, along with Licensee, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility compliance with Title 22 Regulations. The facility consists of six resident bedrooms, common living area, dining room, kitchen, two full bathrooms for resident use, one staff bedroom and one and a half staff bathrooms. All indoor and outdoor passages were free of obstruction. The facility had a comfortable temperature throughout the visit.

KITCHEN/FOOD SERVICE AREA: The facility had a sufficient supply of 2-day perishable food and 7-day non-perishable food. Knives and other sharp utensils are stored in a locked drawer.

Medications were locked and centrally stored in the hall closet. Cleaning supplies are stored in the locked laundry room.

COMMON AREAS: The living room areas and dining areas are furnished appropriately. The smoke alarm and carbon monoxide detectors were tested at 2 :05 PM and were operational. The fire extinguisher is fully charged and purchased on 11/21/2021. The backya rd area is enclosed with a self-latching gate and outdoor activity space.

BATHROOMS: There are two common full bathrooms. The bathrooms were observed to be safe and sanitary with grab bars and non-skid mats and a supply of toilet paper, soap and paper towels.