Facility Evaluation Report

On 04/12/2023 at 9:49 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection. LPA observed appropriate Covid-19 postings on the outside of front door. LPA was greeted by Maria Ana Rodriguez the house manager and granted access. Maria Ana requested LPA check temperature on temperature reader affixed to the entry wall. Maria Ana monitored LPA's temperature and asked LPA to sign in. LPA observed staff #1 (S1) and 2 residents in the living area. LPA called the Administrator Daisy Hailey and notified Administrator reason for the visit. Administrator could not meet LPA and designated Maria Ana to sign this report.

At 10:02 a.m. LPA and Maria Ana toured the physical plant of the facility, and the following was observed.

Living room/ Dining area: The living room and dining area were clean and properly furnished. Fireplace not in use secured with a screen.

Bedrooms: LPA inspected five (5) out of five (5) resident bedrooms. One (1) out of the five (5) bedrooms is a shared bedroom. LPA observed each private resident room to be properly furnished with one bed, appropriate night stand, chair, beddings and with sufficient lighting and storage. LPA observed an air mattress and twin bed in the shared bedroom. LPA asked Maria Ana who sleeps in the air mattress and Maria Ana indicated she sometimes sleeps in the shared room occupied by one resident when she is extremely tired. S1 immediately removed the air mattress.

Bathrooms: The facility has three (3) bathrooms. LPA took water temperature from one (1) out three (3) bathrooms sink at 10:13 a.m. and temperature was 116.3 degrees Fahrenheit. LPA observed the bathrooms to be clean and properly supplied with toilet paper and trash bins with lids.

Laundry/Garage: Laundry room leading to the garage and staff bedrooms is kept locked and inaccessible to residents. Detergents are kept locked in a the laundry room.