Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Evelyn De Garriz and discussed the purpose of the visit. The facility currently has no residents in care due to previous renovations and updates to the facility.

The facility is a one story home with four bedrooms, two bathrooms, living room, kitchen, dining room, and attached two car garage. The facility appears clean, safe, and sanitary. LPA observed the kitchen to be free of vermin. LPA observed the knives to be in a locked drawer in the kitchen. LPA observed a fire extinguisher in the kitchen with a service date of July 10, 2025. LPA observed the toxins and chemicals to be under the sink in a locked cabinet. LPA observed the centrally stored medication cabinet to be in the kitchen and locked. LPA observed the seven day nonperishable and two day perishable food supply on hand. LPA observed the resident bedroom to have the required components and furnishings. LPA observed the restroom to have toilet paper, paper towels, and non-slip flooring. LPA observed the water temperature to be at 119.4 degrees Fahrenheit. LPA observed a supply of clean linens in the hall cabinets. LPA observed the backyard had a shaded seating area for client use. LPA and AD tested the carbon monoxide and smoke detectors and they were found to be operational.

LPA observed the staff files which were incomplete due to the facility being closed. LPA did not observe updated staff training due to the facility being closed. LPA printed all the LIC forms for staff and resident files at the time of the visit. LPA did not observe an emergency fire drill due to the facility being closed. LPA did not observe a current liability insurance verification form due to the facility being closed, AD stated that they are in the process of reinstating their insurance policy before receiving residents.