Facility Evaluation Report

LPA OBSERVATIONS: Tour began at 8:31 am and was led by Administrator Harmon. The facility is divided into two (2) single-story building units located in a residential area. Each building unit (A & B) contain: two (2) live-in staff bedrooms, one (1) staff bathroom, one (1) staff kitchen, twelve (12) client bedrooms, six (6) Jack & Jill style bathrooms, client kitchen, dining room, living room, and linen closets.

Front Yard: Was clean and well maintained. No hazards were observed.

Kitchen: LPA Ramirez observed appliances to be clean and in working order. LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located kitchen cabinet, to be inaccessible to twelve (12) out of twelve (12) residents in care. Resident kitchen sink water temperature was measured at 109.9 degrees F. Signs promoting hand washing were observed in this area.

Dining Room/Living room: Dining room was observed to be clean and contained one table with plenty of seating. Living room was observed plenty of seating and lighting. LPA Ramirez observed mini fridge in this area to be accessible and contain snacks and several beverages. LPA Ramirez observed fully charged fire extinguisher in dining room area.

Linen Closet/Emergency Supply Cabinet: Contained plenty linens, towels, and hygiene products. LPA Ramirez observed emergency supplies in cabinet.

Resident Rooms 8 - 12: LPA Ramirez inspected all resident bedrooms. All resident bedrooms were observed to contain the required linens, furnishings, and lighting. LPA Ramirez observed all resident bedrooms to be clean and did not observe any hazards during visit.