Facility Evaluation Report

A Required One (1) year visit was conducted today by Licensing Program Analyst (LPA) Jose Tan. LPA initially met with Thomas Owens who called the administrator Ziesha Water-Carrico and explained the reason for the visit. LPA observed that all six (6) residents were at the facility during visit.

A tour of the physical plant was conducted at 9:29 AM and the following were noted:

The main door is the only entrance being utilized for entry. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation plan and Infection Control plan. The facility has a designated visitors' area at the other building. The facility has sufficient stock of PPE in the storage room.

The facility is part of series of building inside the compound. It is a one storey stand alone building and has seven (7) shared and one (1) private client bedrooms and three (3) bathrooms. There is also a bathroom designated for staff use only.

Physical plant was checked for cleanliness and condition. Facility was in good repair and observed to be clean and free of clutter during today's visit.

Living and dining room furniture were also checked for functionality (wear and tear). Furniture was observed to be in good condition.