Facility Evaluation Report

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived for an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by DSP Junne Collado and Administrator Melba Santos.

The facility is a one-story home with four resident bedrooms, two resident bathrooms, kitchen, dining room, living room, laundry room, back yard with pool and attached two-car garage. LPA noted that two residents were away at day program during visit. Facility appears clean and sanitary. All residents rooms had required elements, including bed, chair, closet space and ample lighting. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured at 107.4 degrees Fahrenheit in the bathroom in bedroom 1 and 105.4 degrees Fahrenheit in the bathroom accessible from the hallway. A supply of extra linen and hygiene supplies are stored in a closet in the hallway. An emergency food supply is stored in the hallway closet. Fire extinguishers were observed to be fully charged and were last serviced on 03/04/2023 according to the service tags. Dual Smoke/Carbon Monoxide detectors tested operational. Garage has been converted into an activity/lounge area for residents. Facility has a supply of extra linen and hygiene supplies stored in the hallway closet. Activity materials include, an arcade basketball game, treadmill/other exercise equipment and a piano. LPA observed facility has emergency food and water supply stored in the garage. Facility has a pool that is fenced all the way around and has two latched gates on either side. Both exit gates in the backyard are operational and accessible. Medication, first aid kit and facility files are stored in locked cabinets in the dining area/kitchen. LPA reviewed all four resident files. LPA reviewed P&I with administrator. P&I was money reviewed, accounted for and appeared to be documented properly. LPA interviewed the only resident available for interview.

No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was provided to the administrator.