Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, there were three (3) staff and two (2) residents present. LPA was greeted by the Administrator, Bernadita Salvador and at this time the reason for the visit was explained. Entrance interview conducted.

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 11:20am. Knives and sharps were observed locked and inaccessible at the time of the visit. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food; properly stored. Refrigerator and food pantry were checked for proper labels and expiration dates.

COMMON AREAS: This includes the living room and dining room area. The common areas were furnished appropriately and appeared to be in good condition at the time of the visit. The facility maintained a comfortable temperature. LPA observed required postings throughout the common space. Cleaning supplies, detergents, and toxins were observed in a locked cabinet inaccessible to residents in care. Activities for resident use were observed. There is a working telephone on premises. LPA observed auditory alarms at the time of the visit. Fire extinguisher was observed fully charged with a date of 03/15/2024. At 11:23am, the smoke detectors and carbon monoxide detector were tested and operational at the time of the visit. Emergency disaster drills conducted quarterly as per regulation; the last drill was conducted on 08/27/2024.