Facility Evaluation Report

On 06/21/24 at 8:23 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with House Manager Ricardo Bernal .

The facility is licensed for two (2) ambulatory and four (4) non-ambulatory, of which two (2) may be bedridden. Facility has two approved hospice waivers. Annual fees are current.

This facility consists of an office area, foyer, kitchen, living room, dining area, a wheelchair ramp (located on the right side of the house), five (5) resident bedrooms, one staff bedroom, two (2) bathrooms, backyard patio, and a garage (washer/dryer). The facility is clean, sanitary, and in good repair.

The House Manager accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.

Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between 111 F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked.

Common areas were clean and clear of hazards, doorways were free of obstructions.