Facility Evaluation Report

Licensing Program Analyst (LPA) A. Gomez arrived unannounced on this date to conduct 1-Year Annual Inspection starting at 2:00 pm. Upon arrival, LPA met with Administrator, Shirley Jones. The facility's fire clearance was approved for ambulatory only.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 73 degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 115.2 degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene were available for residents. There are a minimum of 7-day non-perishables and 2-day perishables foods.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 9/17/2024 . First aid kit was observed to be complete. Disaster drill was last conducted on 3/17/2025. Emergency Disaster plan last reviewed 3/28/2025

LPA reviewed 1 staff records and staff are associated to the facility and have current first aid training. LPA reviewed 2 clients records and P&I's. Surety bond is sufficient to cover P&I.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.