Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 10:20 a.m. The LPA was greeted by staff and met with Administrator Mervin Galvez and explained the reason for the visit.

The LPA and staff 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.

BEDROOMS: The LPA began the inspection with the Bedrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The facility consists of 5 (five) total bedrooms, 4 (four) are designated for resident use with (2) shared rooms and (2) two private rooms and 1 (one) designated staff room. Staff bedroom was locked appropriately.

RESTROOMS: The (2) two resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured in bathrooms measured between 118.0-120.0 degrees Fahrenheit.

KITCHEN: Kitchen knives are stored locked and inaccessible in a drawer to the right of the stove. The supply of dishes is adequate. Appliances in the kitchen were clean and functional . The facility had a sufficient supply of two-day perishable and seven-day nonperishable food.

COMMON AREAS: The facility is a single-story structure with a large sunroom, dining room and living room. The LPA did not observe any obstructions or hazards. At the time of the visit, the living room, sunroom and dining room furniture were observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 74 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The LPA observed fire extinguisher along the dining room wall which was last serviced 06/12/2023. Linen closet and locked cabinet containing cleaning supplies and hygiene items was observed in the main hallway locked and inaccessible. **Continued on LIC 809-C**