Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today at 8:00 a.m. The last annual conducted at this facility was on 10/27/2022. When the LPA arrived, there was one (1) staff and six (6) residents present. Upon arrival, LPA met with Administrator, Maria Calles and the reason for the visit was explained. Entrance interview conducted.

At 8:22 a.m., the LPA along with the Administrator 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: The LPA inspected the kitchen/food service area at 8:33 a.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels. The knives and sharps stored in a box locked under the kitchen sink. At 8:35 a.m., the water temperature was measured at 108.5 degrees Fahrenheit.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed six (6) residents having breakfast during the inspection. The facility maintained a comfortable temperature. The smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were observed fully charged and last serviced on 05/03/2023. The LPA observed activities available and accessible to residents in care. Cameras were observed in the common areas. The last emergency drill was conducted on 09/15/2023. (Report Continued on LIC 809C...)