Facility Evaluation Report

On 11/03/2025 Licensing Program Analyst (LPA) Lorena Casillas arrived at facility for an unannounced one (1) year Required visit.

LPA Casillas arrived at 09:30 am, LPA was able to speak to Administrator and was told they would be designating staff member Kaiya Thompson to sign the report as they would not be able to meet with LPA today. LPA explained the reason for the visit and entrance interview was conducted.

A tour of the physical plant was conducted with designee at 09:35 am. The facility has four (4) bedrooms and four (4) bathrooms currently occupying no clients. The tool kit was not used on this visit as there are no clients.

Infection Control: LPA Casillas reviewed the facility Infection Control Plan submitted on 12/08/2022 to make sure protocols are being followed. LPA’s temperature was taken at the door by staff and questionnaire filled out before entry was allowed.

Living and Dining: At 09:35 am, LPA observed the living room and family room area to be neat and clean along with the dining room. LPA observed the locked medication cabinet for client medications. The facility maintains a comfortable temperature at 70°F. There is one (1) fire extinguisher located in the kitchen and one (1) fire extinguisher in the hallway, last purchased on 04/01/2025. The carbon monoxide detector and smoke detector were tested and observed to be operational at 09:40 am.