Facility Evaluation Report

On 03/1/2023 at 12:00PM, Licensing Program Analyst (LPA) L. Hall conducted an announced pre-licensing inspection. LPA met with Ovilio Barrios Garcia, Administrator. The facility has an approved fire safety clearance for two (2) ambulatory and two (2) non-ambulatory clients.

LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage and back yard. The facility has a total of four (4) bedrooms, one (1) being used for an office and two and one-half (2 1/2) bathrooms. There were no bodies of water present during inspection. There is sufficient lighting around the facility. Clients rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non skid mats. Passageways and hallways are free of obstruction. Locked closet available to store medications and toxins. Locked cabinet to store sharps. Hot water temperature is measured at 115.9 degrees Fahrenheit. Fire extinguisher was last services on 11/1/2022. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present. First-Aid kit complete.

No issues were noted during inspection. LPAs observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required.

Exit interview conducted with Administrator and a copy of this report provided.