Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth arrived at 10:30 am and conducted an unannounced visit and was greeted by two caregivers. The Administrator Renelyn Landicho arrived at 11:30 am. LPA stated the purpose of the visit was to conduct an annual inspection. The staff members confirmed there are two (2) residents. The facility is licensed for six (6) non-ambulatory residents of which one (1) may be bedridden in room 4.

LPA toured the facility from 11:10 am until 11:50 am..

Common Area – LPA observed the living room, dining room, and kitchen are combined. The living room area contains comfortable seating. The dining room area contains dining room table and chairs, The medications will be locked in a cabinet within the pantry area. The cabinet underneath the kitchen sink was locked and contained cleaning solutions. There is a locked drawer for knives. A fire extinguisher is also located in the kitchen.

Backyard - The backyard is shaded and contains comfortable seating. The gate leading from the back yard to the front yard was not locked.

Bedrooms - The bedrooms contained bed, linens, night stand, lamp, chest of drawers, and a chair.

Bathrooms - There are three bathrooms which contains walk in showers, hand soap, paper towels, trash can, grab bars, and slip resistant mats.