Facility Evaluation Report

On 05/20/22, 2:00 PM, Licensing Program Analyst (LPA) L. Salazar arrived unannounced to conduct an annual inspection. LPA was met by licensee and Administrator and stated purpose of visit. A tour of the facility was conducted. COVID-19 guidelines are in place.

LPA toured the facility inside and out and observed facility to be clean, free from odor without any obstructions or fire clearance issues. LPA observed chemicals and cleaning solutions located in a locked kitchen cabinet. Medications are locked in a tool chest with wheels located in the kitchen. The facility temperature read at 75 degrees. The hot water temperature read at 115 degrees F. LPA observed required postings in the facility.

LPA observed a 4 bedroom 3 bathroom house, three bedrooms are single occupancy and one bedroom that is shared with 2 residents. LPA observed 5 out of 5 residents in care.

LPA observed a 2 day supply of perishables and 7 day supply of non-perishable foods.

Exit interview was conducted. A copy of this report was left with Administrator. No deficiencies observed on todays inspection.