Facility Evaluation Report

On today's date Licensing Program Analyst (LPA) William Vanegas conducted an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by facility staff. LPA explained purpose of the visit and Administrator was notified via telephone. LPA began a tour of the facility accompanied by Facility Assistant (FA) Christine Alfaro and observed the following.

The facility is a one storied home with four bedrooms one of which is a staff room, two bathrooms one of which is shared and one of whic is private, and attached two car garage. LPA observed kitchen area to be clean and free of any mildew and debris. LPA observed there to be a microwave, dishwasher, refrigerator, and an electric stove. All appeared to be in good condition and tested operational. LPA observed 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 on hand.

LPA observed all client bedrooms to have all required furnishings including 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 client rooms to be free of any debris and hazards. LPA observed all client bathrooms to be clean and free of any mildew and debris, LPA observed restroom to have all required furnishings including grab bars, slip resistant floor matts, and a shower chair. LPA observed all water faucets and toilets to be operational. Hot water temperature tested between 112.3 and 113.4 degrees Fahrenheit.