Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today at 9:25am. Upon arrival, the LPA was greeted by the Administrator, Jerson Soriano and at this time, the reason for the visit was explained. During the inspection, three residents were at day program and one resident out visiting family. Entrance interview conducted.

Starting at 9:42am, the LPA along with the Administrator 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/food area at approximately 9:54am. The kitchen appliances appeared to be clean and in operable condition. The facility has a sufficient supply of seven (7) days non-perishable and two (2) days perishable food; properly stored. Refrigerator and dry food pantry were checked for proper labels and expiration dates. Knives and sharps were observed in a locked drawer inaccessible to residents in care. Cleaning supplies were observed under the kitchen sink locked and inaccessible. At 9:50am, the kitchen sink was measured for hot water temperature, and it measured 105. 8 degrees Fahrenheit.

BEDROOMS : There are four (4) bedrooms for resident use and one (1) bedroom designated for staff only. The LPA observed all resident bedrooms to be properly furnished with a bed, appropriate and adequate bedding, nightstand, and sufficient lighting. There is a closet in the hallway with additional clean linens and towels for resident use. Personal hygiene items were observed locked in a hallway closet at the time of the visit.