Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by the facility's Direct Service Providers after introducing himself and stating the purpose of the visit.

There are currently four clients in care, all of which are ambulatory. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage, with four private bedrooms and two bathrooms, including one en-suite.

All four bedrooms appear clean and sanitary. No postural supports are in use. All resident bedrooms have the required furnishings. The bathroom appears clean and sanitary. Hot water temperature measured at 109F.

LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Cleaning supplies and the medication central storage are verified to be secure. The wall-mounted fire extinguishers present are verified to be charged with up-to-date maintenance tags. Carbon monoxide and smoke detectors were found to be present and operational. Emergency food and water supplies are present.

LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with outdoor furniture for resident use. The identified route of egress is free of clutter and obstructions. There are self-latching gates on both sides of the property.