Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Guzman Chavez conducted an unannounced visit to Appleton Homes to conduct a Required 1-Year Annual Inspection with focus on Infection Control. No previous Annual has been conducted since they were pre-licensed on 9-01-2020. LPA was greeted and screened at the door by staff Albert Salunga. Administrator Myline Olivas arrived at the facility at 9:12am and was explained the reason for the visit.

LPA 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. LPA along with Administrator Myline, initiated a tour at 9:12am and the following was observed:

There is a central entry point designated for universal screening by the entrance. Smoke detectors and Carbon Monoxide detector were tested and functioned properly during time of visit. Fire extinguishers were observed to be fully charged. First-Aid Kit was observed by the entrance of the facility. Medications are in the dining room area in a locked cabinet. Main temperature displayed by hallway and read at 77 degrees Fahrenheit for the facility.

OUTDOOR SPACE: LPA observed the backyard to have a covered outdoor area with a tables and chairs for resident use. There are two (2) gates on each side of the house that have a single latch and always remains unlocked.

KITCHEN: LPA observed the kitchen/dining area to be clean. Knives are stored in a locked cabinet in the kitchen by the oven. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food.