Facility Evaluation Report

On this day Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver Randy Hernandez, and LPA explained the purpose of the visit, set up equipment, and began a tour of the facility and observed the following.

This is a one storied home with six bedrooms one of which is a staff room, and five of which are resident rooms. There are two and a half bathrooms, all of which are used for residents in care and the half bath is used for staff and visitors. LPA Vanegas observed the kitchen area to be clean and sanitary. LPA Vanegas observed a microwave, refrigerator, gas stove, dishwasher, washer, and dryer. All appeared to be in good repair, and tested operational.

LPA Vanegas observed bathrooms to be clean and free of any mildew or debris, LPA Vanegas observed bathrooms to have all required furnishings such as grab bars, slip resistant floor matts, and a shower chair. LPA Vanegas observed water faucets and toilets to be in good repair and tested operational. LPA Vanegas observed water temperature to be between 102.4 and 103.7 degrees.

LPA Vanegas observed all resident rooms to have required furnishings such as chest drawers, clean linens in good repair; meaning no strains or tears, a bed, a reading lamp, a chair, and enough storage space to store personal belongings. Rooms are large enough to walk about freely, and no obstructions were observed blocking entry ways.