Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit. Upon arrival LPA met with Administrator, John Strellner and explained reason for visit. Entrance interview conducted.

Starting at 10:00 A.M., the LPA, along with 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. The following was observed:

Kitchen : Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food at the time of the visit. There was sufficient dining and cook ware to accommodate a maximum capacity of 6 residents. Clining supplies are stored in a locked under-sink cabinet. There were no visible immediate hazards observed. At 10:17 A.M. hot water temperature measured at 114.9 degrees Fahrenheit. Fire extinguisher is fully charged, and recently purchased on 07/13/2024. Combination smoke alarms and carbon monoxide detectors were tested at 1:36 P.M. and were operational at this time.

Bedrooms: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 5 (five) total bedrooms. This facility doesn’t have a staff room, facility provides 24/7 care. Room #3 is cleared as a bedridden room. LPA observed that Room #3 is equipped with a fire door, and it has a direct exit to the backyard in case of an emergency. At the time of the visit, LPA observed fire door closed. No bedroom was used as a passageway to another room, bath, or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair.