Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with Staff and explained the reason for the visit. Assistant Administrator Pamela Banas arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations.

LPA inspected the kitchen/food service area at approx. 09:50 a.m. The LPA observed one client sitting in the living room and another client sitting at the dining table. Knives and sharp objects are stored in a locked cabinet underneath the sink. No cleaning supplies were observed stored in the kitchen. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time.

At the time of the visit, the common area furniture's were observed to be in good condition. LPA observed medication, first aid kit, facility records stored in the hallways closet inaccessible to residents in care. LPA observed emergency food supply, supplies for emergency and PPE stored in hallways closet near the entry way. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and last serviced 03/15/2024.

All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage observed inaccessible to clients in care. LPA observed garage to store an additional fridge to store extra perishable food that staff bring in. LPA also observed laundry area, along with additional furniture and medical equipment for facility use. Cleaning supplies were observed inaccessible in a cabinet in the garage. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction.