Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the staff, Angelita Cayanan, and explained the reason for the visit.

At approximately 11:45pm, LPA took a tour of the physical plant. The facility is a two story building, but only the first floor is licensed for operation. Only the licensee/owner occupies the second floor. No residents are allowed on the second floor. Required postings were observed in the entry area. The smoke alarms are hardwired and interconnected. The carbon monoxide detector is located in the dining room area. The fire extinguisher is located in the kitchen.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives and cleaning supplies are being stored in locked drawers. Properly labeled medications were locked in one of the kitchen cabinets.

Bedrooms: There are three (3) bedrooms designated for residents' use. Two (2) bedrooms are for private use, and one (1) is shared. Bedrooms were properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There is one (1) bathroom designated for the residents' use. The bathroom was observed to be properly supplied and had functional fixtures. Hot water temperature was measured at 111 degrees Fahrenheit. There were no cleaning supplies stored in the bathroom during the day's inspection.