Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios conducted an Annual Required visit and inspection of this facility. LPA met with staff#1(S1) who granted access. S1 contacted the administrator Maria Royo and informed them LPA was at the facility. Administrator met LPA shortly after and LPA explained the reason for the visit.

LPA along with the administrator conducted a tour of the physical plant and LPA observed the following:

The home is a one story dwelling. The facility has an approved fire clearance for two (2) non ambulatory and two (2) ambulatory clients for a total capacity of four (4). Upon entry LPA observed required postings on facility wall.

Common Areas : These included the living areas and dining area. The common areas were clean and clear of clutter. The areas were properly furnished. Dining table with chairs and sofas sit the capacity of the facility. LPA observed an area by the kitchen with a facility computer and games for clients to use.

Garage and Laundry: The garage is attached and entry to the garage from the facility is kept locked. The laundry area is by the garage door and is accessible to clients. The detergents and extra facility supplies are kept in the locked garage. There is extra PPE stored in the garage.

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 bed, night stand, a chair, appropriate bedding, and have sufficient lighting.

Bathrooms: There are two (2) bathrooms in the facility. The shared bathroom is properly supplied with toilet paper, hand soap and paper towels. (Continue to LIC809-C)