Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met Administrator Mycol Akhile for an unannounced one (1) year Required visit for this facility.

LPA arrived at 09:45 am and was greeted by Administrator. LPA informed the Administrator of the purpose of the visit and entry was granted.

A tour of the physical plant was conducted with the Administrator at 9:47 am. The facility has three (3) bedrooms and two (2) bathrooms currently unoccupied. Three (3) bedrooms are for resident use and one (1) bedroom is used for staff. The facility is Fire Cleared for four (4) ambulatory.

The facility does not currently have any residents, therefore the Inspection Tool Kit will not be used for this visit.

Food Inspection: LPA conducted a tour of the kitchen at 9:55 am and observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPA observed all knives and sharp objects locked in a kitchen drawer. Medication will be stored in a locked cabinet located in the kitchen and inaccessible to residents in care. There is one (1) fire extinguisher located in the kitchen and one (1) located in the garage. The fire extinguishers were purchased today, and receipt was provided.

Resident Rooms: LPA observed rooms to have the appropriate bedding. There is a nightstand, chair, and sufficient lighting for each resident.