Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced at 11:36AM to conduct an annual inspection. LPA initially met with facility staff. Facility Designees and Licensee/Administrator were contacted via telephone. Facility Designee Eleanor Jimenez arrived shortly after the visit began; remaining 3 (three) managers arrived throughout the visit. Entrance interview conducted.

Beginning at 12:11PM, the LPA, along with facility management 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. The following was observed:

Fire extinguishers were observed to be fully charged and recently serviced 10/04/2024. Hardwired combination smoke and carbon monoxide detectors were tested at 02:10PM. All were functional at the time of the visit.

BEDROOMS : There are (8) eight bedrooms in the facility; the facility has (6) six private bedrooms for resident use, and (2) two staff rooms. Both staff rooms are kept locked. Lighting in the resident rooms appeared adequate. All resident rooms were observed and were furnished appropriately at the time of the visit.

BATHROOMS : There is (1) half bath and (1) full bathroom in the hallway. There is (1) one additional private bathroom for resident use; the half bathroom in the hallway is designated for staff and guests, the full bathroom in the hallway is designated for resident use. The showers are equipped with nonskid surfaces and available nonskid mats. Grab bars were observed in the bathrooms. Hot water temperature in shared resident bathroom measured at 115.1 degrees Fahrenheit, which is within the required range.

COMMON AREAS: The common areas were appropriately furnished, and the lighting was adequate. There is a television and other entertainment equipment in the living room area. All furnishings were observed in good condition. All required postings were observed in common areas.