Facility Evaluation Report

On 1/26/2024 at 9:30am, Licensing Program Analysts (LPAs) Carol Fowler and Tonica Syess-Gibson conducted an unannounced 1-Year Required inspection. LPAs met with Bootsanson Flores, Caregiver, and explained the purpose of the visit. Chris Wilson, Facility Manager arrived at 11:15am. The Administrator currently holds a certificate (#6036411740) that expired on 08/14/2023 which is in the process of being renewed. The facility’s fire clearance was approved for six (6) ambulatory residents.

LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of six (6) total bedrooms, and three (3) bathrooms. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was missing service tag. Emergency Disaster Plan was posted. First aid kit was observed to be complete.

Facility did not have staff files available for review and resident files were all incomplete.