Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with Francisco Fabregas for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 09:30 AM and the following was noted:

The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool. There is a garage being used for storage.

The facility is fire cleared for one (01) ambulatory and five (05) non-ambulatory, of which one (01) may be bedridden. Bedroom #1 cleared for ambulatory only. Bedroom #2,3,4 and 5 cleared for non-ambulatory. Bedroom #5 cleared for one (01) bedridden. Waiver granted for six (06) hospice. The facility is currently occupying three (03) residents.

The living and dining room are neat and clean. The facility has a total of five (05) bedrooms and two (02) bathrooms. The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. The bathroom was checked for cleanliness and proper operations. There was enough clean linen available in the cabinets. Residents have enough personal hygiene product provided by the licensee. Towels and washcloths are not shared.