Facility Evaluation Report

On 12/22/2023 at 1:20 p.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced required annual inspection. LPA rang the door bell and nobody answered. LPA telephoned administrator. Administrator stated they will meet LPA at the facility. Administrator arrived to the facility and LPA explained the reason for the visit.

The facility is Fire Cleared for four (4) ambulatory clients for a total capacity of four (4) clients. The facility has four (4) bedrooms and two and a half (2 1/2) bathrooms.

A tour of the physical plant was conducted with administrator at approximately 2:00 p.m. and the following was observed:

Food Inspection: LPA conducted a tour of the kitchen at approximately 2:00 p.m. and observed there to be sufficient supply of two-day perishables and seven-day non-perishables foods, properly stored. Food storage and preparation areas are clean and clear of clutter. LPA observed all knives, sharp objects, the first aid kit with manual up to date and detergents locked in a closet by entrance and inaccessible to clients in care. LPA observed one (1) fire extinguisher to be fully charged last serviced 06/09/2023.

Living and dining areas: LPA observed the living areas and dining area to be clean and clear of clutter. The furniture was in good repair and sits the capacity of the facility.

Bedrooms: LPA inspected four (4) bedrooms, three (3) of which are for client use. One (1) bedroom is shared. LPA observed each client room to be properly furnished beds, appropriate night stand, chair, bedding and with sufficient lighting and storage.