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. Licensee Lorraine Membreno 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. 10:00 a.m. Knives and sharp objects are stored in a locked drawer to the right of the sink. No cleaning supplies were observed kept 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. LPA observed medication centrally stored and resident files securely stored in this area as well.

At the time of the visit, the common area's furniture were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in the hallways cabinets. A sufficient supply of PPE and toiletries were observed stored inaccessible to residents in care in a hallway closet. 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 on October 15, 2024.

The LPA observed four (4) client bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Bathrooms were clean and sanitary and in operating condition. The bathrooms were sufficiently stocked with supplies and paper towels. At approx 10:13 a.m. The hot water temperature was measured at 98 degrees Fahrenheit. The Administrator adjusted water heater during the visit and the temperatures in each bathroom measured between 107 - 111 degrees Fahrenheit.