Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced for a required 1-year annual inspection today at 10:00 a.m. Upon arriving at the facility, the LPA was scanned and greeted at the door by Administrator Marebeth Mallare and was explained the reason for the visit.

At 10:15 a.m., the LPA, along with the 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:

KITCHEN: At 10:18 a.m., the LPA observed the kitchen/dining area. Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:25 a.m., LPA observed perishable food items in the refrigerator to be expired such milk, yogurt, hummus, cheese, dressings, dates of expiration ranged from Dec 28, 2022, up to Jul 25, 2023. The Administrator was advised to monitor perishable items for expiration.

BEDROOMS: The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The facility consists of 6 (six) total bedrooms, 4 (four) are designated for resident use and 2 (two) are designated for staff use. Staff bedrooms were observed and were occupied by staff.

RESTROOMS : Observed beginning at 10:38 a.m., restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Between 10:39 a.m. and 10:45 a.m., hot water measured at 109.9 and 119.8 degrees Fahrenheit in the resident restrooms.

COMMON AREAS : The LPA observed common area to be relatively clean and properly furnished at the time of the visit. The LPA observed the fire extinguishers to be fully charged and last serviced on 1/15/2023.