Facility Evaluation Report

Licensing Program Analyst (LPA) Angel Ascencio arrived at the facility unannounced to conduct a required annual visit at approximately 9:32 a.m. The LPA met with Administrator Eugenia Abrigo and explained the reason for the visit.

At 9:47 a.m. the LPA toured the physical plant areas inside and outside with Administrator Eugenia Abrigo to ensure there are no health and safety hazards.

BEDROOMS: The LPA observed six resident bedrooms and one staff bedroom. All bedrooms were private with Bedroom #1 and Bedroom #4 containing a private bathroom. All resident bedrooms had an exit to the exterior. All resident rooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds. In addition, no bedroom was used as a passageway to another room, bath or toilet.

RESTROOMS: The facility has four (4) bathrooms. Bathrooms are clean, sanitary and in operating condition with grab bars and non-skid surfaces. The LPA observed appropriate hand-washing signs in the restrooms. The resident bathroom has a shower with non-skid materials. The toilet and shower have grab bars. During the visit, the LPA observed signs in all of the bathrooms pertaining to proper hand hygiene. In addition, restroom hot water measured under 120.0 degree F.

KITCHEN : Knives are stored in a locked cabinet in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. Continued on LIC 809 - C