Facility Evaluation Report

11/07/2024 09:35 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Nora Serrano # 7002659735 exp. 12/22/2025 and explained the purpose of the visit.

LPA Knight 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 six (6) client rooms, common areas, three (3) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared.

Activities are planned on a calendar and clients are also assisted with individual and group activities of their choice. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the clients. Medication is locked in a cabinet.

The facility was observed to be at a comfortable temperature. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational. No pools/bodies of water are on premises. Last disaster drill was conducted on August 20, 2024. The facility has been conducting monthly fire drills.

The licensee is in the process of painting the exterior of the home and plan to complete by end of November 2024.

No deficiencies are being cited as a result of today's inspection. Technical assistance was provided.

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