Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival LPA met with staff and explained the reason for the visit. Administrator Marilou Mallari was out of town at the time of the visit, but designated Staff Norma Zanders arrived shortly after.

The LPA 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.

LPA began the inspection in the kitchen/food service area at 09:45 a.m. Knives are stored in a locked cabinet in the kitchen. Kitchen appliances observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored. Cleaning supplies were observed locked and inaccessible under the kitchen sink.

At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 74 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. The fire extinguishers were fully charged and were last serviced 09/11/2023. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common space.

The backyard has a covered outdoor area equipped with furniture for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There were no bodies of water noted. LPA observed two (2) sheds, both were observed to be inaccessible to residents in care. LPA observed both sheds to store extra furniture, medical equipment and other items for facility use. There is a separate laundry room, which is kept locked at all times. Cleaning supplies and disinfectants are kept locked inside the laundry room. Emergency water was observed in a closet by the entrance.