Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an annual inspection. LPA was greeted by staff, who allowed LPA to enter. The house manager Angel Gomez was contacted and came to the visit. There were (2) additional staff on duty. Everyone was explained the reason of the visit. The following areas were inspected:

Common areas: Living/dining: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. There are (02) bathrooms, that had grab bars, and non-skid mats. Hot water measured at 106.2 degrees Fahrenheit. The garage is used for office, storage and laundry. Laundry detergents, cleaning agents and other toxins are stored in a locked cabinet in the garage and kitchen. Kitchen: Food Service/Kitchen area was sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. There are (2) additional refrigerators located in the garage, stocked with food. Bedrooms: The facility has (4) bedrooms residents; with (1) room for staff. All bedrooms were properly furnished and supplied with appropriate bedding and linens. (2) rooms are shared and (2) private. Surrounding Grounds: There were no visible hazards; passageways were free from obstruction and gates were easily accessible to open. All exit doors have locks; all were operating. Fire extinguisher fully charged. First aid kit furnished fully equipped. Smoke alarms and carbon monoxide detectors were tested and operating properly. Record review: completed.

Exit interview and copy of report provided.