Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced for a required 1-year annual inspection today at 9:30 a.m. Upon arriving at the facility, the LPA was scanned and greeted at the door by staff. Administrator Cilva Toume arrived shortly thereafter and was explained the reason for the visit.

At 10:00 a.m., the LPA, along with the staff and the administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN: At 10:00 a.m., the LPA observed the kitchen/dining area. Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:10 a.m., LPA observed perishable food items in the refrigerator to be expired such as mayonnaise and dressings and observed 5 boxes of expired cereal in the pantry dates of expiration June 6, 2023. The Administrator was advised to monitor food items for expiration and expired food items were disposed of at the time of discovery.

BEDROOMS: The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The facility consists of 8 (eight) total bedrooms, 6 (six) are designated for resident use and 2 (two) are designated for staff use. Staff bedrooms were observed and were occupied by staff. Administrator will provide updated facility sketch.