Facility Evaluation Report

At 2:40p.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an annual required visit and inspection of the facility. LPA met with Caregiver gained entry and explained the reason for the visit. At about 2:45p.m., Caregiver contacted Administrator, Linda Morales arrived and indicated that cannot stay for this visit. Administrator granted permission for caregiver to sign this report.

At approximately 3:05p.m., LPA and Caregiver conducted a physical plant tour. Required postings were observed in the hallway. The smoke alarms are operational that are located in each bedroom, the hallway and kitchen. There are several carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen and the hallways. The charge date is 03/30/2025. During this visit facility temperature is at 75 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; one (1) maybe bedridden; approve for two (2) hospice waiver.

Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found at least two (02) days perishable and seven (07) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked cabinet in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen.

Bedrooms: There were six (06) bedrooms designated for residents' use. Bedroom #1(empty), bedroom #2 -#6 are all private use that has only one resident. Resident bedrooms were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting.