Facility Evaluation Report

03/05/2025 11:10 AM Licensing Program Analysts (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with licensee / administrator Nora Serrano and explained the purpose of the visit.

LPA, staff and the administrator toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to three (3) resident rooms, common areas, two (2) bathrooms, kitchen, storage areas, laundry and yard. Staff and client files were reviewed. Medications were also reviewed.

Common area, bathroom and kitchen were was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Medication is locked in a cabinet.

Fire extinguishers fully charged and inspected. Smoke detectors are all operational. All employees requiring background checks are cleared. All required postings are displayed within facility.

No pools/bodies of water are on premises. Facility has been conducting emergency disaster drills every six months, and fire drills every three months. The facility is keeping a log of all drills.

In the areas toured no immediate health, safety, or personal rights violations were observed. No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report was provided to licensee Nora Serrano