Facility Evaluation Report

At 11:50AM, Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by Administrator Jovy Sarreal and Licensee Gilliana Sherman and informed them of the reason for the visit.

Beginning at 12:00PM, the LPA conducted a tour of the physical plant with Administrator to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted:

The LPA observed fire extinguishers throughout the facility, which were fully charged and last serviced 06/27/2024. Hardwired combination smoke alarms and carbon monoxide detectors were tested at 01:22PM and functioned properly.

Bedrooms: The facility contains 6 (six) resident rooms and 1 (one) staff room. Staff room is kept locked. The resident bedrooms were observed to be properly furnished and had sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets.

Bathrooms: The facility contains 4 (four) bathrooms; 2 (two) are shared resident restrooms, 1 (one) is a private resident restroom, and 1 (one) is designated for staff and visitors. LPA observed resident bathrooms, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. The hot water was measured in the common hallway restroom and measured at 116.2 degrees Fahrenheit, which is within the required range.

Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. The facility maintained a comfortable temperature. The LPA observed all required postings in the hallway near the entrance area. Facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit.