Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-Year visit at the facility. LPA was greeted by Elena Baydel, caregiver for the facility, and explained the purpose of the visit. There are currently 6 residents who are currently living in the facility.

During visit, LPA conducted a tour of the facility. There are four (4) resident rooms located within the facility, a kitchen, a dining room, a staff bedroom, a staff bathroom, client bathroom, two (2) sheds outdoors that contain miscellaneous supplies, and an attached garage the contains the facility's washer and dryer machines. The facility was observed to be clean and in good repair.

Due to time constraints, the annual inspection will need to be completed at a later time. Exit interview held and a copy of this report was provided to Elena Baydel.