Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Annual Inspection. Upon arrival LPA was greeted by Staff #1(S1) who granted access. LPA contacted the Administrator, Natividad Arayata and explained the purpose of the visit. The Administrator Designee, Marti Natividad arrived shortly after. LPA observed appropriate postings through out the facility. At 2:38 p.m., the Administrator arrived to the facility.

At 2:15 p.m., LPA initiated a physical plant tour of the facility inside and out and observed the following.

Bedrooms: There are five (5) resident designated bedrooms of which one (1) is shared. All bedrooms have the proper furniture and adequate lighting. The auditory alarms on each exit door were tested and found to be operational.

LPA observed the Administrator Designee test the Smoke and Carbon Monoxide detectors at 2:23 p.m., and they were functioning properly. LPA observed a fire door close for room labeled #1.

Bathrooms: There are three (3) bathrooms designated for residents. One (1) bathroom is located in the shared bedroom. Each bathroom is equipped with grab bars and non-slip mats. The hot water temperature was taken at 2:26 p.m., from one (1) bathroom and read 113.2 degrees Fahrenheit within regulation.

Common Areas: These include the living room and dining areas. Areas were clean and clear of clutter and the furniture was observed to be in good repair.