Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 02:28PM. LPA initially met with facility staff. Administrator arrived shortly after LPA's arrival. Entrance interview conducted.

Beginning at 02:42PM, the LPA, along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguishers are fully charged and recently serviced on 03/19/2024. Hardwired combination smoke and carbon monoxide detectors were tested at 05:20PM and all were functional at the time of the visit. No fire clearance concerns were observed.

BEDROOMS : There are 8 (eight) total bedrooms in the facility; 2 (two) are designated as staff rooms; both staff rooms were observed to be locked. There are 6 (six) private resident bedrooms, all with private bathrooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.

BATHROOMS : There are 6 (six) private resident bathrooms and 1 (one) guest/staff bathroom. Restrooms were observed to be equipped with nonskid surfaces. Grab bars were observed in the bathrooms. The water temperature was measured in various resident bathrooms and measured within the required range.

COMMON AREAS : This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. Exit doors contain alarms and were functional at the time of the visit.

OUTDOOR SPACE: The backyard has a covered patio area with patio furniture including a table and chairs