Facility Evaluation Report

On 11/17/2023 at 2:05PM Licensing Program Analyst (LPA) Kelly Nguyen arrived unannounced to conduct health and safety check due to a P1 complaint. LPA met with Fernando Fernandez, Administrator and explained the purpose of the visit.

The facility was approved for 6 clients; fire clearance was approved for four (4) ambulatory and 2 non-ambulatory clients. No bedridden approval.

LPA toured facility with Applicant including but not limited to 3 bedrooms, 1 office room, 2.5 bathrooms, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 77 degrees F and hot water temperature was maintained at 120 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were observed. Two fire extinguishers last inspected on 8/29/2023.

During the visit LPA observed that there are currently no resident residing at the facility.

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