Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and was granted entry into the facility by staff. Upon entry LPA's temperature was checked. LPA explained the reason for the visit.

During the visit LPA toured the facility with Administrator Crystal Lara. Facility is a 5 bedroom (3 client rooms, 2 staff rooms) and 2 bathroom single story home. There are 4 Clients in care. LPA observed facility has required Department postings. LPA toured all clients rooms. Client rooms had proper bedding and storage space. All restrooms observed contained working water basin, soap, toilet paper and towels. Bathrooms had proper hand washing signs posted. Facility has ample supply of hygienic supplies. Clients were observed relaxing in living room watching TV and relaxing in bedrooms.

Facility has ample supply of PPE supplies. Facility has 2 refrigerators and pantry's with ample food supply. LPA observed facility has emergency food and water supply. Facility has 2 fire extinguishers fully charged. Facility has a secured location for Client medication and files. Facility has 30 days supply of medications for clients. LPA reviewed Clients files during visit. Clients emergency contact information and physicians reports are current. Facility has designated visitation area. LPA observed Administrator's certificate expiring on 02/25/2022.

An exit interview was conducted with Administrator and copy of report was left at facility.