Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a required annual visit at 12:18 p.m. The LPA met with Administrator Nicole Lomeli and explained the reason for the visit. This is a social rehabilitation facility which houses clients typically for a maximum of 30 days.

The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The carbon monoxide, smoke alarms and fire suppression system were last tested 5/4/2023 by Intelligent Fire Systems & Solutions, Inc. The fire extinguishers were last inspected on 12/13/2022 and will be inspected later this month. KITCHEN: The kitchen was clean and appliances all appeared operable. The facility has a sufficient supply of perishable and non-perishable food. The kitchen remains locked if staff are not inside and knives are kept in a locked drawer in the kitchen. Cleaning supplies are kept in the cabinet below the sink. The hot water measured 115.8*F. BEDROOMS: The LPA observed eight double-occupancy rooms which were appropriately furnished, clean and had sufficient lighting. RESTROOMS: There is one restroom for women and one for men. Each restroom is equipped with two toilet stalls and two shower stalls. Restrooms were clean and sanitary and in operating condition. COMMON SPACES: The lobby, activity room/dining room and lounge area were all appropriately furnished and in good condition. The LPA observed the required postings throughout the facility. The patio area was equipped with furniture for residents' use. The smoking area is also equipped with furniture for residents' use. INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility has appropriate plans in place in the event of clients and/or staff showing symptoms of COVID or testing positive for COVID or other infectious diseases. CLIENTS and STAFF: LPA interviewed three clients and three staff. No concerns were noted. LPA reviewed records for three clients; all documentation reviewed was complete. Medications are stored in a locked medication room. Licensed nurses assist with medications and they appear to be given as prescribed. LPA reviewed records for three staff; all training and personnel documentation was complete. Exit interview conducted. A copy of the report was provided to Administrator.