Facility Evaluation Report

Licensing Program Analyst (LPA), Martha Arroyo conducted a pre-licensing visit to this property at 9:15 a.m. on 09/19/2023 and met with Applicant Representative Maria Calles. The applicant has obtained fire clearance for a total capacity of four (4) non-ambulatory residents, and two (2) bedridden residents in bedrooms #2 and #4 for a total capacity of six (6) residents. The facility has a dementia program in place.

LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. At 9:45 a.m., all hard-wired smoke alarms and carbon monoxide detectors were tested and function properly. LPA observed one (1) fire extinguisher to be new and fully charged on 05/03/2023.

There are four (4) single occupancy bedrooms and one (1) double occupancy bedroom for resident use and one (1) staff room / office. Each bedroom is equipped with clean mattresses, pillows, and bedding. There is a closet in the hallway with a sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting. The facility has two (2) bathrooms for resident use. Resident bathrooms contained appropriate non-skid mats and grab bars. Bathrooms have sufficient paper products. Hot water temperature was measured in both bathrooms; first bathroom measured 115.3 degrees Fahrenheit at 9:28 a.m.; and second bathroom measured 113.9 degrees Fahrenheit at 9:32 a.m.

LPA toured the kitchen area at 9:35 a.m. The facility has at least seven (7) day supply of non-perishable food and two (2) days perishable food. Appliances and all equipment appear to be clean and in good repair. Kitchen knives and cleaning supplies were observed under the kitchen sink locked and inaccessible. The kitchen has a sufficient supply of plates, cups, cookware and utensils. Hot water temperature was measured in the kitchen at 116.7 degrees Fahrenheit at 9:37 a.m.