Facility Evaluation Report

On 04/22/25 Licensing Program Analyst (LPAs) L. Salazar and M. Vega arrived to the facility unannounced to conduct the required Annual visit. LPAs were met by lead staff and PLAD, stated the purpose of the visit and were allowed entry into the facility. Administrator on record is Shena Owen, Certificate #6045395735 Exp. 01/27. LPA's met with PLAD and lead staff, Administrator is out on today's visit.

LPAs conducted a tour of the facility, inside and out with the PLAD Facility temperature was 72 degrees F. There were no residents in care at the time of visit, residents were attending day program. Facility is a 4 bedroom 4 bathroom home. Private resident bedrooms were observed to have the required lighting and furnishings and were free from odor and free from any passageway obstruction / fire hazards. LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed in the garage.

Bathrooms were toured and observed to have operational lights, running water, and non- slip floors. Hot water temperature tested in bathrooms located next to Resident R1 and Resident R2 rooms.at 115 in Bathroom #1 measured at 115 degrees F & Bathroom #2 measured at 114.2 degrees F. Trash cans with lids and hand washing postings were observed. Internet devices and a working phone line were observed to be available for residents in care. A supply of extra linen's and towels were observed in the hallway closet.

Carbon monoxide and smoke detectors were tested and observed to be operational. Carbon Monoxide detector was located in common entry way. A State Fire Marshall approved automatic fire sprinkler system was observed to be operational. Fire Extinguisher was observed with a service date of 11/06/27. First aid kit was observed in the medication room and contained all required items.