Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit at 1:20 p.m. The last annual conducted at this facility was on 08/29/2022. When the LPA arrived, there were two staff and two residents present. The LPA was greeted at the door by staff, and the Administrator Venis Caccam arrived at 1:50 p.m., at this time the reason for the visit was explained. Entrance interview conducted.

At 1:53 p.m., the LPA along with the 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.

Kitchen: The LPA inspected the kitchen/food service area at 2:05 p.m. Knives and sharps are locked under the kitchen sink. Cleaning supplies were also observed under the kitchen sink locked and inaccessible to residents in care. Kitchen appliances appeared clean and were in operable condition at the time of the visit. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. The facility has a sufficient supply of perishable and non-perishable food. At 2:14 p.m., the hot water temperature was measured at 108.5 degrees Fahrenheit.

Common areas: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. At 2:06 p.m., the smoke detector(s) and carbon monoxide detector were tested and functioned properly at the time of the visit. The fire extinguisher was observed to be fully charged and serviced on 04/27/2023. There is a functioning telephone on the premises. The LPA observed required postings throughout the common space. At 3:30 p.m., the LPA observed two residents arriving from their day program.