Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 10:21AM. LPA was greeted by Facility Designee Arnida Obtinalla. Licensee MC Richard Obtinalla was contacted via telephone and arrived at the facility at approximately 12:40PM. Entrance interview conducted.

Beginning at 10:30AM, the LPA, along with Facility Designee 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:

LAUNDRY & GARAGE : The laundry room is located adjacent to the kitchen. Laundry supplies and chemicals are stored in a locked cabinet, inaccessible to residents in care. Garage was observed locked and contained an additional freezer and pantry, as well as staff lounge and office area.

KITCHEN : The LPA observed the kitchen/dining area to be clean. Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food and emergency water. The LPA observed one designated cabinet under the kitchen island where knives and sharps are stored locked and inaccessible to residents. Cleaning supplies are located in a locked cabinet under the kitchen sink.

COMMON AREAS : This includes the living room and dining room areas. LPA observed common area to be relatively clean and properly furnished at the time of the visit. No fireplace was noted. The LPA observed the fire extinguishers to be fully charged and last serviced on 05/31/2023. Hardwired smoke detectors and carbon monoxide detector were tested at 01:23 PM and were functional at the time of the visit. Last emergency disaster drill was conducted 04/22/2023 and another will be conducted this month.