Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an annual inspection, LPA was greeted by caregiver Nazrul Sekh, who allowed LPA to enter. There was (1) additional staff on duty. Administrator Mario Gurule was not available during the visit. The current census is (4). Facility license/sketch, grievance/complaint procedures, personal rights, Infection/Mitigation plan, Administrator certificate, emergency and complaint procedures was visibly posted.

A physical plant tour of the facility inside and outside was conducted with caregiver Nazrul. The following common areas: living, dining, kitchen, resident bedrooms, and bathrooms were inspected:

Kitchen: LPA observed a Licensing requirement of (7) day nonperishable, and (2) perishable, with extra refrigerator and freezer stocked with food in the garage. Food was properly wrapped, and appliances were functional, clean, and in good repair. Chemicals, household supplies, and knives, that are stored in the kitchen and garage area were locked and secured. 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. Bedrooms: The facility has (5) bedrooms; with (1) room for staff. All bedrooms were properly furnished and supplied with appropriate bedding and linens. There were sufficient linens observed and available ; as well as personal hygiene products available for residents as well.

Bathrooms: There are (2); all were clean, with soap and towels, grab bars, and non-skid mats. Hot water measured at 119.5 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards; passageways were free from obstruction and gates were easily accessible to open. All exit doors have alarms; all were operating.