Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today at 8:00 a.m. The last annual conducted at this facility was on 09/15/2022. When the LPA arrived, there were two (2) staff and three (3) residents present. The LPA was greeted at the door by Administrator, Bernadita Salvador and the reason for the visit was explained. Entrance interview conducted.

At 8:10 a.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 8:20 a.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The knives and sharps stored locked inside the pantry. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. At 8:22 a.m., the LPA observed non-perishable canned foods that were expired – fruit cocktail (qty – 3 expired 09/2022), peanut butter (qty-2 – expired 03/2021), canned vegetables (qty – 5 expired 05/2023), Campbells soup (qty – 3 expired 10/2022), bag of raisins (qty – 3 expired 10/2018), and packaged chicken breast (qty – 3 expired 10/2022). These items were discharged upon observation.