Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct the required annual visit. Upon arrival, the LPA was greeted by staff who then contacted the Administrator telephonically. Administrator, Marilou Mallari arrived at approx. 08:40 a.m., and the reason for the visit was explained. Entrance interview.

Beginning at 08:45 a.m., LPA and 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.

There are five (5) bedrooms in the facility for resident use; four (4) bedrooms are designated as private, single occupancy rooms, and (1) bedroom is designated as a double, shared occupancy room. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. There is a closet with additional clean linens and towels for resident use. There are three (3) restrooms in the facility for resident use. Restrooms were observed to be clean and in sanitary condition. Grab bars and slip resistant floor were observed. Restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured starting at 08:58 a.m., and they measured within the required range of 105 – 120 degrees Fahrenheit during the inspection.

The LPA observed the garage which was inaccessible to residents at the time of the visit. There is a washer and dryer inside the garage. Toxins and detergents were observed locked and inaccessible during the inspection. A sufficient supply of emergency food and water was observed.