Facility Evaluation Report

LPA Angelica Rea conducted an unannounced 1 Year Required visit and met with Caregiver Soledad Bernal. LPA Rea explained the purpose of today's visit, and was allowed entry into the facility. LPA Rea was informed that licensee/administrator Erlinda Reynolds has recently passed away. LPA was informed that Ms. Reynolds' daughter, Robilyn Reynolds has obtained an Emergency Approval to Operate, LIC 9118 from Community Care Licensing. LPA Rea obtained a copy of the form, dated 6/19/24 during the visit. LIC 200 has been submitted to the Centralized application Bureau. Ms. Vivian Grandpre facility RN also came to assist with today's visit.

The facility consists of a single story structure that contains a living room, dining room, kitchen, laundry room, backroom with fireplace, 4 client bedrooms & 1 staff bedroom, two bathrooms, one with a tub & one with a shower, a two car attached garage, a front & backyard with a shaded area for client use. Facility has one live in staff.

LPA conducted a tour of the physical plant along with LPA observed the following: comfortable temperature throughout, hallways clean & free of debris, no weapons, ammunition or bodies of water on premises, postings observed, smoke alarm tested & operational, hot water temperature measured at 107.1, in bathroom #1, and 107.4 degrees F in bathroom #2, First Aid Kit Inspected, sufficient linens & hygienes supplies, sufficient cutlery, cups & dishes, observed toxins & sharps storage location, which is kept locked, 2 day perishable & 7 day non perishable food supply observed, fire extinguisher fully charged, emergency disaster drill last conducted on 6/1/24, stored medications observed, MAR's reviewed, staff & client files reviewed.

No deficiencies observed. Exit interview conducted, and a copy of report provided.