Facility Evaluation Report

On 8/28/2024 at 9:55am, Licensing Program Analyst (LPA) Carol Fowler conducted an un-announced pre-licensing visit. LPA met with Purita Soliman, Caregiver, and explained the purpose of the visit. The Licensee arrived at 12:00pm The facility has an approved fire safety clearance for five (5) non-ambulatory and one (1) bedridden residents.

LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has a six (6) bedrooms one (1) occupied by staff and two (2) bathrooms. No bodies of water observed. 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. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 124.9 degrees Fahrenheit in shared clients' bathroom. Carbon monoxide and smoke detectors present and operable. Facility inspection matches the sketch that was provided.

Facility needs to correct the following by 9/12/2024:

· repair fence and gate on the side yard.