Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:30 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator, Karen Rosales arrived shortly after and the reason for the visit was explained. Entrance interview.

INTERVIEWS : Starting at 9:40 a.m. two (2) staff and three (3) resident interviews were conducted. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns were noted or voiced at the time of the visit.

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: There are seven (7) total bedrooms in the facility; six (6) bedrooms are designated as private, single occupancy, resident rooms and one (1) staff room. The staff rooms are kept locked at all times. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. During todays visit LPA observed an additional resident bedroom that was addressed in last years annual inspection detailing that they added a dry wall in the living room that created an additional bedroom after licensure. The Administrator presented evidence that the LIC200 form and the revised facility sketch reflecting the addition were submitted to CCLD on July 15, 2024, at 9:56 p.m.