Facility Evaluation Report

Licensing Program Analysts (LPA) Zabel Chochian conducted an required annual visit to the facility today. Upon arrival, there were two (2) staff, six (6) residents and three (3) visitors present. The LPA met with staff who then contacted the Administrator via telephone. LPA spoke with Administrator, Jennifer Hamilton and reason for the visit was explained. LPA was assisted by the lead staff on duty. LPA met with resident and the visitors in the common area. Entrance introduction was made. Brief discussion was held with residents and visitors.

At approximately 2pm The LPA and staff 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. The following was observed:

KITCHEN: The LPA inspected the kitchen/food service area. Knives and sharps were observed in a locked drawer at the time of the visit. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. Cleaning supplies were observed locked and inaccessible under the kitchen sink. The LPA observed an adequate amount of emergency food and water.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. Fire extinguisher was observed to be new with a purchase date of 04/17/2026. The LPA observed a fireplace adequately covered at the time of the visit. Night-lights observed throughout the common areas and bathrooms. The LPA observed required postings throughout the common space. Auditory alarms observed functioning at the time of the visit. Facility smoke/carbon monoxide detectors and fire alarm are all wired and connected with the local fire station. The system was confirmed operable via the phone system. (Continued on LIC 809c)