Facility Evaluation Report

On 1/17/2024 at 9:30AM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Daniel Villa and explained the purpose of the visit. The Administrator currently holds a certificate (#6035480740) that expired on 2/7/2023. The facility’s fire clearance was approved for six (6) non-ambulatory residents.

LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of three (3) bedrooms occupied by residents, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 73 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 128.5 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 03/2/2022. Emergency Disaster Plan was not posted or provided. First aid kit was observed to be incomplete.

LPA reviewed Administrator and two (2) staff files which were all incomplete.