Facility Evaluation Report, 10/30/2024

Licensing Program Analysts (LPA) Felisa Shirley made an announced visit and met with applicant/ administrator Evelin Lopez to conduct a Pre-Licensing evaluation. The requested capacity is for six (3) ambulatory clients.

Structure: Facility is a one story family home with three bedrooms, two (2) full bathrooms, living room, dining area, kitchen, washer and dryer appliances are located in a closet off of the living room. Locked file cabinets located in the garage which is being used as an office will be used to store client and staff files. First aid kit, and first aid manual will be located in the kitchen in a locked cabinet. There are two exits, main exit is located in living room, and exit two (2) is located off of the dining room. Front yard landscape is in good condition at time of visit. Bedroom Residents: Bedrooms are equipped with one bed per client, nightstand or side table, and a chair. LPA observed activities available for clients. Bathrooms: Two (2) bathrooms have a working toilet, wash basin, and a bathtub/ shower, LPA observed grab bars and non-slip strips. Linens & Hygiene Supplies: Beds have the required linen/supplies which include, pillowcase, mattress padding, fitted sheet, blanket and bedspreads. One (1) fully charged fire extinguisher located between the kitchen and dinning room, hall closet and in the garage. LPA observed sufficient hygiene supplies for clients.

Food Service: Dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good repair. Knives, cutlery, and other sharp kitchen utensils are stored in a locked drawer in the kitchen. Smoke Detectors/Carbon Monoxide(s): Facility is equipped with operational smoke detectors in all bedrooms and mounted on the ceiling. There is one working landline located in the home.

LPA observed three day perishables, and seven days plus supply of non-perishable food.

Appliances: Stove burners, oven, microwave, and washer/dryer are in working condition. There is one working (1) refrigerator in the home and one (1) freezer and extra refrigerator located in the garage.