Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met with Administrator Tejeira Daniels for an unannounced one (1) year Required visit for this facility. LPA arrived at 9:30 am, there was no one in the facility. LPA called Administrator who stated that there were no residents yet, LPA explained the reason for the visit and Administrator stated that they would be arriving soon. Administrator arrived shortly after.

The facility is fire cleared for two (2) non-ambulatory residents and two (2) ambulatory residents for a total capacity of four (4). There were no residents observed in the facility.

The tool kit was not used, as there are no residents in the facility yet. A tour of the physical plant was initiated at approximately 10:30 am and the following was observed:

KITCHEN: LPA conducted a tour of the kitchen at 10:40 am and observed there to be sufficient stock seven-day non-perishables foods, perishable foods will be purchased when residents are obtained. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects locked and inaccessible to residents in the staff office located in an area of the living room. The medications will be stored in a locked cabinet in the kitchen.

BEDROOMS: There are three (3) bedrooms designated for resident use. Two (2) rooms are designated as private rooms. One (1) bedroom will be shared. The bedrooms have beds, nightstands, chairs, dressers, bedding and linen. All rooms had sufficient lighting.

BATHROOMS: The facility has two (2) bathrooms. All bathrooms were observed to have the proper fixtures, and non-skid mats. The hot water delivered in the bathrooms measured 115.1 degrees F.