Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, there were two (2) staff and five (5) residents present. The LPA was greeted by facility staff and at this time the reason for the visit was explained. The Administrator, Donald Brodt arrived shortly after. Entrance interview conducted.

Starting at 09:18 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 facility is in compliance with Title 22 Regulations. The following was observed:

Kitchen: The LPA inspected the kitchen/food service area at approximately 9:20 a.m. Knives and sharps were observed locked and inaccessible in a kitchen drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. At 09:25 a.m., the hot water temperature was measured in the kitchen sink, and it measured at 110.5 degrees Fahrenheit.

Bedrooms: There are five (5) resident bedrooms. Four (4) bedrooms are designated as single occupancy, and one (1) bedroom are double occupancy. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The LPA observed additional clean linens and towels for resident use. There is a staff bedroom on premises.