Facility Evaluation Report

On 3/6/2024 at 10:40AM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Agnes Fernandez, Administrator, and explained the purpose of the visit. The Administrator currently holds a certificate (#6014213740) that expires on 03/16/2024. The facility’s fire clearance was approved for six (6) non-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 four (4) 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 101.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars.

Smoke detectors was in operating condition during visit. Fire extinguisher was last serviced on 06/24/2019. Emergency Disaster Plan was posted. First aid kit was observed to be complete.

LPA reviewed three (3) residents files and three (3) staff files which were all found to be complete.