Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 10:20AM. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Marisol Flamenco arrived shortly thereafter. Entrance interview conducted.

Beginning at 10:40AM, 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. The following was observed:

Fire extinguisher was observed to be fully charged and Administrator stated was recently purchased, around the time of LPA Chochian's last visit. LPA Dulek advised Administrator to retain proof of purchase date. All combination smoke and carbon monoxide detectors were functional during testing.

KITCHEN/GARAGE : The LPA began the inspection in the kitchen/food service area. One knife and one lighter were observed in a small drawer next to the stove, which was unlocked and accessible to residents in care. Items were secured in a locked location upon discovery. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Adjacent to the kitchen is the facility garage. The garage was observed to be locked and contains emergency food and water, extra food, cleaning supplies, and laundry.

COMMON AREAS : At the time of the visit, living room and dining room furniture was 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 throughout the visit. Auditory alarms on exit doors were observed to be functioning at this time. The LPA observed required postings throughout the common space.

BEDROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 5 (five) designated resident rooms; 4 (four) are private rooms and 1 (one) is a