Facility Evaluation Report

On 02/10/25 at 10:40 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Lead, Caregiver Larisa Bobakova and disclosed the purpose of the visit. Administrator was called via phone and advised of the visit.

LPA asked for the census, resident, and staff files.

A physical tour was conducted at 11:10 AM and observed the following:

The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your right-hand side towards the backyard. It is fully charged. The expiration date is 07/2025. There is a telephone line on the counter in the kitchen. There is extra, food in the kitchen pantries. The medications are locked and inaccessible to the residents in one (1) of the top, black cabinets on your right-hand side at the entrance of the facility. The knives are at the top of the kitchen counter on your right-side in a locked black box and inaccessible to the residents. The first aid kit is on the kitchen counter area on the right-side of the sink.

Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. The facility does have a signal system. The facility does not have a pool/body of water or a garage.