Facility Evaluation Report

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced Required One (1) year visit to the facility. LPA met with Assistant Administrator Mathew De Vera and explained the reason for the visit.

A tour of the physical plant was conducted at 2:45 pm and the following was noted:

There is only one entrance being utilized at the facility.

The facility has four (4) bedrooms and three (3) bathrooms currently occupying four (04) residents. One (01) room is shared.

Living and dining room furniture were also checked. The living room is neat and clean. The facility maintains a comfortable temperature at 72 degrees. The smoke detectors are observed to be operational. There is a carbon monoxide detector in the facility. Fire extinguishers are located in the kitchen and by the washer and dryer.

The backyard of the facility has outdoor furniture with a covered shaded area for residents. There is no body of water at the facility. There is also a garage where extra food, P.P.E. and hazardous chemicals are stored.