Facility Evaluation Report

Licensing Program Analyst (LPA) William Vanegas made an unannounced inspection for the purposes of conducting an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver (CG) Taveewan Kaewma. LPA Vanegas explained the nature of the inspection and set up equipment. LPA Vanegas began a tour of the facility and observed the following.

This is a one storied home with five bedrooms one of which is a staff room, and four of which are resident rooms. There are two and a half bathrooms all of which are shared for residents in care. LPA Vanegas observed kitchen area to be clean and free of debris, LPA Vanegas observed a gas stove, microwave, refrigerator, washer, and dryer all to be in good repair and operational. LPA Vanegas observed a two day supply of perishable food, and a seven day supply of non-perishable food, with a sufficient amount of emergency water on hand for residents in care, and staff on duty.

LPA Vanegas observed resident rooms to be large enough to walk about freely, and no obstructions blocking the entry ways. LPA Vanegas observed all resident rooms to have the required furnishings such as clean linens in good repair, meaning no strains or tears, a lamp, chest drawer, enough storage space for personal belongings, a bed, and a chair.

LPA Vanegas toured the outside of the facility and observed the following, there is a large backyard with no obstructions along the exit routes. Side doors are self latching and unlocked. There is an outdoor shaded sitting area, and it is available for resident use upon request.