Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit. LPA Ascencio met with Administrator Arlene Ceballos at 10:15 a.m. and explained the reason for the visit.

The LPA toured the physical plant areas inside and outside, with Administrato rArlene Ceballos at 10:25 a.m., to ensure there are no health and safety hazards.

BEDROOMS: There are (6) six bedrooms designated for resident use and (1) one bedroom designated for staff use. Bedroom #3 Bedroom #4 and Bedroom #5 have a direct exit to the exterior. The facility has furnished each room with clean linens, appropriate furnishings, and sufficient lighting for resident use.

RESTROOMS : Resident restrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA observed sufficient amounts of soap and paper products. The restrooms hot water measured between 105.0 and 120.0 degrees Fahrenheit.

KITCHEN: Kitchen appliances were in operable conditio n. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The facility has a sufficient supply of perishable and non-perishable food. Knives, medications, and chemicals were locked and inaccessible. Kitchen sink hot water measured 118.2 degrees Fahrenheit.