Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, the facility was empty. LPA contacted the Administrator via telephone and the reason for the visit was explained. The Administrator, Maria Ibarra arrived at approximately 10:25 a.m. The four (4) residents were at the day program at the time of the visit. Entrance interview conducted.

Beginning at 10:34 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 that facility is in compliance with Title 22 Regulations. The following was observed:

Kitchen: The LPA observed the kitchen/food area at approximately 10:36 a.m. The kitchen appliances appeared to be clean and in operable condition. The facility has a sufficient supply of non-perishable and perishable food; properly stored. Refrigerator and dry food pantry were checked for proper labels and expiration dates. Knives and sharps were observed in a kitchen cabinet locked and inaccessible.

Bedrooms: There are three (3) bedrooms designated for resident use. The LPA observed all resident bedrooms to be properly furnished with a bed, clean linens, furniture chest with drawers, a chair, and sufficient lighting. Staff room was observed on premises locked and inaccessible to residents at the time of the visit.