Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, there was one (1) staff member present. One (1) resident is currently at day program. The LPA was greeted by facility staff who contacted the Administrator via telephone. At this time, the LPA explained the reason for the visit. The Administrator stated they were unable to come to the facility but gave permission for staff to sign report. Entrance interview conducted.

Starting at 1:50pm, the LPA along with staff 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 to be clean. Kitchen appliances appeared to be 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. The knives and sharps are stored in a locked cabinet inside the food pantry inaccessible to clients in care.

BEDROOMS : There is one (1) bedroom for resident use. The LPA observed resident bedroom to be properly furnished with a bed, appropriate and adequate bedding, nightstand, and sufficient lighting.

BATHROOMS : There is one (1) bathroom for resident use. Bathroom was observed to be equipped with nonskid surfaces and grab bars. The LPA observed bathroom to be clean, properly supplied and had functional fixtures. Starting at 1:57pm., the water temperature was measured in the bathroom, and it measured 106.5 degrees Fahrenheit.