Facility Evaluation Report

On 09/15/23, Licensing Program Analyst (LPA) L. Salazar arrived to the facility unannounced to conduct the required Annual Inspection Visit. LPA was greeted by Staff and Licensee, stated the purpose of the visit and was allowed entry into the facility. Staff S1 provided a tour of the facility inside and out.

LPA observed 2 residents in care at the time of visit. Facility is a 3 bedroom 2 bathroom home. Residents bedrooms were observed to have the required lighting and furnishings and were free from odor and free from any passageway obstruction / fire hazards. Facility temperature was 76 degrees F.

Bathrooms were toured and observed to have operational lights, running water, and non- slip floors. Hot water temperature tested at 105 degrees F. Trash can with lid and hand washing postings were observed.

Medications were observed to be locked in a cabinet in the hallway. Cleaning supplies were observed to be locked in the garage. LPA toured the kitchen observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored.

Carbon monoxide and smoke detectors were observed to be operational. Fire Extinguisher was observed with a service date of 08/22/23. First aid kit was observed and contained all required items.

A covered outdoor seating area was observed for residents in care. Side gate was self-closing and self-latching.