Facility Evaluation Report

Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced Annual visit to this facility at 09:20am. LPA Saucedo was greeted by the administrator. The purpose of the visit was discussed, and the client and staff rosters were obtained.

LPA conducted a tour of the physical plant at 09:40 am. By the entrance of the facility there is signs displaying hand washing, coughing etiquette, physical distancing, administrator license certificate, disaster plan. The trash bin in the kitchen area was observed to be with cover/lid.

Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have supply of clean linen and towels in hallway cabinets. Facility has total of four (4) bedrooms: Three (3) for clients: one bedroom is a shared bedroom with a private bathroom. The other two bedrooms are used individually. There is an office for staff which is located next to bedroom three and there is another bathroom located in hallway between bedroom two (2) and bedroom three (3). The bathrooms were observed to be clean with necessary supplies. Hot water temperature for both bathrooms was 118.9 Fahrenheit.

Kitchen area was observed to be clean. LPA reviewed the food service area, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the four (4) clients currently residing there. There is an excess of perishables in several of the cabinets. Sharps observed to be stored, locked, and secured with a key boxed in bottom kitchen cabinet to the right of refrigerator observed to be inaccessible to clients. The fire extinguisher is located in the kitchen area and is fully charged, reading December 2023. The first aid kit and manual are next to the fire extinguisher in the kitchen area against the wall on your left-hand side.