Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today. The last annual conducted at this facility was on 12/23/2022. When the LPA arrived, there were two (2) staff and six (6) residents present. The LPA was greeted at the door by staff, Eloisa Vasallo and the reason for the visit was explained. The Administrator, Lidia Medina arrived during the inspection. Entrance interview conducted.

At 12:41 p.m., the LPA along with staff 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.

KITCHEN: The LPA inspected the kitchen/food service area at 12:48 p.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. The knives and sharps are stored under the kitchen sink locked and inaccessible to residents in care. Cleaning supplies were also observed locked and inaccessible under the kitchen sink.

COMMON AREAS: At the time of the visit, living room, family room, and dining room furniture was observed to be in good condition. The LPA observed three residents watching television at the time of the inspection. The facility maintained a comfortable temperature. At 12:59 p.m., the smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed to be in compliance and charged on 03/15/2023. The LPA observed a closet in the hallway with extra towels and linens. The LPA observed required postings throughout the common space. There is a working telephone on premises.