Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required

annual visit at 1:00 p.m. The LPA was greeted by staff and informed them of the reason for the visit.

Administrator David Flood arrived shortly thereafter.

The LPA and administrator 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.

BEDROOMS/BATHROOMS: The LPA began the inspection with the bedrooms and bathrooms at 1:20 p.m.

Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are six (6) designated resident rooms and one (1) staff room. The resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured between 114.2 and 115.3 degrees Fahrenheit between 1:25 p.m. and 1:32 p.m.

KITCHEN: The LPA continued the inspection in the kitchen/food service area. Knives are stored inaccessible. Cleaning supplies are stored inaccessible in the attached garage. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food.

COMMON AREAS: At the time of the visit, living room and dining room furniture were observed to be in good

condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 74 degrees. Smoke detector(s) and carbon monoxide detector were tested at

1:42 p.m. and operational at the time of the visit. The fire extinguisher was fully charged and purchased on

September 12, 2023. The LPA observed required postings on the dining room wall.