Facility Evaluation Report

On 09/12/2024 at 11:12AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. LPA met with Ivette Reyes, Licensee and Louis Reyes, Administrator, and explained the purpose of the visit. The facility has an approved fire safety clearance for six (6) non ambulatory 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 four (4) bedrooms and three (3) bathrooms. There is sufficient lighting around the facility. LPA observed two (2) out of the four (4) residents’ bedrooms are equipped with hospital beds with bed rails, two (2) were equipped with proper beds and bedding, all rooms have proper lighting. LPA observed Bathrooms showers/tubs were equipped with grab bars and non-skid mats. LPA observed a television in the common living room area.

LPA observed locked cabinets to store medications and sharps. Hot water temperature is measured at 119.8 degrees Fahrenheit in shared residents' bathroom. A comfortable temperature was observed at 73 degrees. Fire extinguisher was last purchased on 04/26/2024. Personnel files were not completed and available during visit. LPA did not review any files during visit.

The following items must be corrected prior to licensing:

Each room must be furnished with proper beds (no bed rails) and bedding.

Completed Personnel Files for Administrator/Licensee

Gate on the side of the property is damaged needs repair and removal of the extra gates leaning against the property.

Bedroom closet must be clear and not used for storage.

7 days of non-perishables and 2 days of perishables.

Exit interview conducted and a copy of this report provided.