Facility Evaluation Report

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes for completing an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by facility staff. LPA explained the purposes of the visit and Leas Staff (LS) Early Maglaya was notified via telephone. LS arrived shortly after to assist with the annual inspection. LPA began a tour of the facility and observed the following.

The facility is a one storied home with four bedrooms, all bedrooms are utilized for clients in care. The facility has two restrooms which are used for clients in care,staff and visitors. There is an attached two car garage as well. LPA observed kitchen area to be clean and free of any debris and mildew. LPA observed kitchen area to have a microwave, a refrigerator, a gas stove, and a dishwasher. All appeared to be in good repair and tested operational. LPA observed there to be a two day supply of perishable food and a seven day supply of non-perishable food as well as a sufficient amount of emergency water.

LPA observed all client rooms to have all required furnishings such as a bed, clean linens in good repair; meaning no strains or tares, a reading lamp, a chair, a chest of drawers, and enough storage space to store personal belongings. LPA observed all restrooms to be clean and free of any toxins, mildew, and debris. LPA observed restrooms to have all required furnishings such as slip resistant floor matts, grab bars, and a shower chair. LPA observed all toilets and faucets to be operational. Hot water temperature tested between 112.3 and 116.5 degrees Fahrenheit.