Facility Evaluation Report

At 9:50a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA met with Reliever and granted entry in the facility. At 10:00 a.m., Administrator arrived and explained the reason for the visit.

At 10:30a.m. LPA and Administrator conducted a tour of the physical plant. There is one entrance being utilized at the facility. Facility is a single-story residence located in a residential neighborhood.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

The facility has a total of five (05) bedrooms and four (04) bathrooms. The facility is fire cleared for six (06) non-ambulatory and a hospice waiver for four (04). The facility is currently occupying seven (07) residents. Last fire drill was conducted on 01/19/2024. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 75°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen, observed to be full and last purchased on 03/02/2024.

Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents.

Residents rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee.