Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit. Upon arrival, there was one staff and four residents present LPA explained the reason for the visit. The Administrator arrived shortly thereafter and explained the reason for the visit.

At 12:00 p.m. the LPA 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.

KITCHEN: The LPA began the inspection in the kitchen/food service area at 12:00 p.m. Knives are stored in a locked medication cabinet in the kitchen next to the garage entrance door. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 12:07p.m. the LPA observed expired milk gallons dated 10/19/2023. At 12:02 p.m., the hot water temperature was measured in the kitchen at 108.1 degrees Fahrenheit.

GARAGE AND GROUNDS : The garage is attached to the house and locked at all times. The laundry room is located in the main hallway and is kept locked and inaccessible. Cleaning supplies and disinfectants are kept in locked cabinets in the laundry room. There is one (1) additional refrigerator in the garage with perishable items in good condition. Facility has an adequate amount of emergency food and emergency water

There is patio furniture including a table, umbrella, and chairs for resident use. Facility has one (1) fence gate that self-latches with clear passageways for emergency exit use. There were no bodies of water noted.

COMMON AREAS: Living room and dining room furniture was observed to be in good condition. There is a screen fireplace in the living room. The facility maintained a comfortable temperature of 73 degrees F. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. The fire extinguisher was observed and complaint as it was last purchased on 05/18/2023. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common space.