Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi conducted a Pre-licensing visit to the above facility. LPA met with Executive Director Margie Veis and explained the reason for the visit.

At 10:30am, LPA conducted physical plant along with Administrator and Maintenance Director Victor Ruelas LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. Smoke detectors and Carbon Monoxide detectors appeared to function properly during time of visit.

Facility is a 2 story residence and consists of a total of (102) apartments. Fire clearance was approved for all rooms for non- ambulatory residents and All rooms are approved for bedridden use, but maximum capacity shall be limited to (10). Fire extinguishers were observed throughout the facility and appeared to be fully charged , Ruelas stated they are due for thier annual service next month. During physical plant tour LPA observed the required postings throughout the facility.

Kitchen: The kitchen was observed to be only accessible to staff. The kitchen appeared to be clean at this time and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Emergency food supply was observed to be stored in a storage closet across the hall from the kitchen. LPA observed emergency food supply to be sufficient at this time. Dining furniture in dining room area appeared to be clean and sufficient at this time.

Common Areas : These included Bistro, Painting areas, Gym, dining areas and multiple activity areas on 2 nd floor, The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. Planned activities and games were on display on tables set up in each activity area. PPE was observed to be stored in storage closet near movie theater room. LPA observed PPE supply to be sufficient at this time.