Facility Evaluation Report

An unannounced One (1) year Required visit was conducted on this day by Licensing Program Analyst (LPA) Gary Tan. LPA met with staff Estephania Romero who called the son of the administrator Aaron Campos and explained the purpose of the visit. LPA was informed that the administrator, Felix Campos is currently out of the country. Mr. Aardon Campos called his aunt Florida Malla who arrived at the facility 30 minutes later.

LPA conducted physical plant tour inside and out at 1:00 PM. During the tour, LPA observed that the facility has four (4) bedrooms and two (2) bathrooms. Three (3) shared bedrooms and one (1) bedroom and one (1) bathroom is designated for staff use. There is no body of water in the facility.

Bedrooms were toured and observed to be clean and appropriately furnished.

Bathrooms were observed to be clean, sanitary and with necessary supplies. Hot water temperature was measured at 118.9 °F . Bathroom sink has a leak and in disrepair

Physical plant was checked for cleanliness and condition.

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

Kitchen area is observed to be clean and sanitary. Knives and sharps are locked and secured in the cabinet below the kitchen sink.

Food . The facility is observed to have sufficient food supply for clients.

Temperature of facility wall thermostat was set at 75.0 °F and observed to be within the required range.

Fire extinguisher One (1) current fire extinguisher was observed to be located in the dining room area. Fire alarms are battery operated. There was a carbon monoxide installed in the facility, located in the hallway.

Medication were observed to be locked, inaccessible and stored in the kitchen. There are two (2) complete first aid kits locked and maintained in the kitchen cabinet.