Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez made an unannounced case management visit for a Health & Safety check. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator Janine Cuyson arrived shortly after and met with LPA.

On today's visit, LPA observed five residents in care and two staff present. LPA observed residents watching television in the living room and sleeping in their respective rooms. LPA observed residents to be in clean clothes. LPA, accompanied by the caregiver, conducted a tour of the physical plant. LPA inspected the four resident bedrooms and observed them to be free of hazards. LPA observed residents' bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed the lights in each of the resident bedrooms to be operational. The water and toilets in each of the resident bathrooms were operational. The hot water temperature measured 115.9 degrees Fahrenheit.

LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the four burner gas stove lights unassisted. LPA observed the facility has a three day emergency food and water supply stored in the pantry by the kitchen. LPA observed a spare refrigerator with additional food supply in the garage. No health or safety concerns were observed.

Based on the observations made during today's visit, no deficiencies were cited. An exit interview was conducted with Administrator and a copy of the report as provided.