Facility Evaluation Report

Licensing Program Analysts (LPA) Dwayne Mason Jr. arrived at Gracie’s Guest Home to conduct an unannounced Required 1 Year Inspection. At 8:30am, LPA was greeted and granted entry by Caregiver Luzviminda "Tom" Perino. Co-Administrator Jeseca Aznar arrived at the facility at approximately 9:00am. Administrator Mary Aznar joined the inspection via phone call throughout the visit. Upon record review LPA noted that the facility’s annuals fees are not current, one employee does not have a verifiable criminal record clearance and one employee is not associated with the facility. Three deficiencies are being given on this day.

Structure: The facility is a one-story home with three shared resident bedrooms, two bathrooms, living room, kitchen, dining room, two staff bedrooms, an attached two car garage and backyard. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the dining room area. There is a back yard with one exit gate on each side of the house. There is a shaded seating area in the backyard. The facility also has a tortoise pen, coi fish pond and chicken coop in the backyard. Co-Administrator stated some residents help with feeding and caring for the animals if they so choose. LPA also observed a lounging area in the front yard of the house. This area has shaded seating areas and is fenced in. There is an unlocked gate leading from the front yard to the driveway. LPA did not observe any obstacles or hazards in either the front or backyard. Upon review of the approved facility sketch, LPA observed a room designated to be a non-ambulatory resident room to be a staff room. A deficiency is being given on this day.

Client Bedrooms All resident bedrooms had the required furnishings. LPAs observed all resident beds had linens and blankets. LPA observed all windows were screened. All bedrooms have alarmed doors leading outside

Toxins: All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to client and will be stored and locked beneath the kitchen sink and in the garage.