Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct the required annual visit today. Upon arrival, the LPA was greeted by staff, who then contacted the Administrator and informed them of the visit. The Facility Designee (FD), Natalia Dela arrived shortly after and the reason for the visit was explained. Entrance interview conducted.

Beginning at 10:35am, the LPA along with the FD 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 10:39am. Knives and sharps were observed in a locked 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 10:42am, the water temperature was checked in the kitchen sink, and it read 105.9 degrees Fahrenheit.

Bedrooms: There are four (4) bedrooms for resident use. Two (2) bedrooms are designated as private / single occupancy, and two (2) bedrooms are designated as shared / double occupancy. Bedrooms were observed to be furnished appropriately and had sufficient lighting. Additional clean linens and towels were observed in a hallway cabinet.