Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 10:52 AM. LPA met with facility staff who contacted the facility Administrator Edwin Paul Oyasan. The Administrator arrived to the facility at 11:03 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 11:05 AM the LPA, along with facility 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 : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer to contain knives and other sharp objects. The kitchen contained a locked under-sink cabinet containing cleaning supplies.

COMMON AREAS : This includes the living room and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contains activities for resident use. The dining area was observed to be equipped with adequate seating for resident use. The facility’s combination fire and carbon monoxide alarms were tested at 11:44 AM and were functional at the time of the visit. All exits in the facility were observed to contain functioning auditory alarms.