Facility Evaluation Report

On 9/22/2023 at 12:50pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced 1-Year Required inspection. LPA met with Eva Bode, Caregiver, and explained the purpose of the visit. Arvin Franco, Caregiver arrived at 1:15pm. The Administrator currently holds a certificate (#6040075740) that expires on 05/25/2024. The facility’s fire clearance was approved for six (6) ambulatory residents.

LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) total bedrooms which one (1) bedroom is occupied by staff, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 135.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/2/2022. Emergency Disaster Plan was last posted on 10/08/2022. First aid kit was observed to be complete.

Facility did not have Administrator file available and two (2) of the (3) staff files reviewed were incomplete. Both resident files were incomplete.