Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, LPA met with staff and explained the reason for the visit. Administrator Maria Calles arrived shortly after. 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.

At approx 09:45 a.m. The LPA inspected the kitchen/food service area. Kitchen appliances appeared clean and to be in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food properly stored. Food labels were inspected and checked for dates and expiration dates. The knives and sharp objects were observed locked and inaccessible underneath the sink. Medication cabinet was located in the kitchen area. LPA observed cabinet to be locked and inaccessible to residents in care.

There are six (6) total bedrooms in the facility; one (1) is designated as a shared room; four (4) are designated as private resident rooms; and one (1) is a staff room. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. LPA observed a closet with additional clean linens, blankets, and towels for resident use. The resident bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit.

At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in a hallway closet. There is a cabinet adjacent to the living room with resident’s personal hygiene items locked at the time of the visit.