Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted an Annual Required visit and inspection of the facility. LPA met with staff, Hyler Royo and explained the reason for the visit. LPA spoke with the administrator Maria Cecilia Royo over the telephone to explained the purpose of the visit. Administrator could not meet LPA at the facility and designated staff to sign todays report.

LPA and staff took a tour of the physical plant and LPA observed the following:

The home is a one story building. Annual fees are current. The facility has fire clearance for two(2) non ambulatory and two (2) ambulatory clients. Upon entry LPA observed required postings on facility wall.

Common Areas : These included the living rooms and dining area. The common areas were properly furnished. Dining table and couches sit the capacity of the facility.

Kitchen: The kitchen appliances and fixtures were maintained and kept clean. LPA observed the facility to have a sufficient amount of 7 day non-perishable and 2 day perishable food; properly stored. Knives and sharps are kept locked in a kitchen drawer.

Bedrooms: There are four (4) client bedrooms, for single use. One (1) additional bedroom is designated for staff use. Client bedrooms were observed to be appropriately furnished with appropriate bedding, linens and have sufficient lighting.

Bathrooms: There are two (2) bathrooms in the facility. One (1) bathroom is designated for staff use only. The shared bathroom is properly supplied with toilet paper, hand soap and paper towels. Hot water temperature was measured at 109.4 degrees Fahrenheit at 1:21 p.m.