Facility Evaluation Report

Licensing Program Analysts (LPAs) Trevor Byrne and Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 08:58AM. LPAs were greeted by staff who contacted Facility Designee Arnida Obtinalla who arrived at the facility at approximately 09:00AM. Entrance interview conducted.

Beginning at 09:00AM, the LPAs, 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:

KITCHEN : The LPAs 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 LPAs observed one designated cabinet where knives and sharps are stored locked and inaccessible to residents. Cleaning supplies are located in a locked cabinet under the kitchen sink.

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, which contained adequate emergency supplies.

COMMON AREAS : This includes the living room and dining room areas. LPAs observed common area to be clean and properly furnished at the time of the visit. Fireplace was noted to be screened and inaccessible to residents. The LPAs observed the fire extinguisher to be fully charged and purchased on 05/29/2024. Hardwired smoke detectors and carbon monoxide detectors were tested at 09:31 AM and were functional at the time of the visit.