Facility Evaluation Report

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

At approximately 9:15am, LPA took a tour of the physical plant. The facility is a one story building. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are dual and interconnected. The facility has one fire extinguisher, located in the kitchen. It was purchased on 03/04/25.

KITCHEN: The kitchen area is equipped with a refrigerator, oven/stove, microwave oven and sink. There is an adequate supply of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives are locked in a kitchen drawer. No cleaning supplies were observed out and accessible to the residents during the day of the inspection.

BEDROOMS: There are four (4) bedrooms designated for client use. Bedroom #1 and #3 are private, while bedrooms #2 and #4 are shared. Per STD 850, only bedroom #4 has the fire clearance for bedridden. All bedrooms, utilized by the residents are furnished with beds, night stand, chairs, dresser, bedding and linen. All the bedrooms have sufficient lighting and closet space. Exit doors in resident rooms were checked to insure the auditory signal is functional.

BATHROOMS: The facility has two (2) bathrooms. Bedroom #4 has it's own bathroom with a bathtub, but it is not being used for the residents. Both bathrooms were observed to have the proper fixtures, grab bars,