Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. The last annual visit was done on 12/21/2022. Administrator Zenaida Velasco opened the door at 2:45 PM. and explained the reason for the visit. Administrator reported to LPAs that the facility does not have any residents at this time, that her family is living at the residence. No residents present. LPAs toured the physical plant areas inside and outside, with Administrator at 2:55P.M.

BEDROOMS: There are (4) four bedrooms designated for resident use. Bedroom #2 and Bedroom #4 have a direct exit to the exterior. Each bedroom has adequate lighting. Bedroom #3 leads to a hallway, which allows for access to Bedroom #5 and Bedroom #6; however, those two rooms designated for staff. There is an exterior door that leads to Bedroom #5 and Bedroom #6. Staff are aware that once they have residents in Bedroom #3, staff would need to enter their rooms through the exterior door. At 3:04P.M. room #1 had a locked door and Administrator was unable to open. Administrator stated she did not have a key to the room.

RESTROOMS: There are (2) bathrooms designated for resident use. There is a bathroom designated for staff use only. Bathrooms are in operating condition with grab bars and non-skid surfaces. The LPAs advised the Administrators to ensure that bathrooms were stocked with paper towels and hand-washing signs prior to allowing resident admissions. Hot water temperature was tested throughout the home and was within normal ranges between 105.0 F and 120.0 F.