Facility Evaluation Report

On 05/03/2023 starting 1:09 PM, Licensing Program Analyst (LPAs) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee, Lilia Perdiguerra and explained the purpose of the visit. The facility’s fire clearance was approved for all six (6) non-ambulatory residents. There were 2 staff and 4 residents present during inspection.

Starting at 1:20 PM, LPA toured facility with Licensee and Administrator, Jerry Perdiguerra including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are for residents and 1 bedroom is for staff. All outdoor and indoor passageways are kept free of obstruction. There are 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 residents’ shared bathroom was measured at 110.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 10/13/2022. First aid kit was observed to be complete.