Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Administrator/Licensee Jasmin Avila arrived shortly after.

Structure: Facility is a single story, 7 bedroom, 3 bathroom house with an attached garage and an off white exterior. The exit gates are unlocked and self latching. Living Room/ Dining Room : Adequate seating is available in the dining room and living room. Bedrooms Residents: All 6 residents rooms are for single occupancy. 1 staff bedroom was observed. All of the rooms are equipped with appropriate lighting, chair, night stand and ample closet space. Bathrooms: Resident bathrooms have a working toilet/ wash basin. Staff bathroom has a working toilet/wash basin. . Linens & Hygiene Supplies: Facility has bedding and towels for residents in care. Emergency Phone Numbers and Exit Plan: Posted in dining room of the facility. Food Service: Facility has 2 day perishable and 7-day nonperishable foods. Smoke Detectors: Smoke detectors/ carbon monoxide detectors were tested and operational. Fire extinguisher present in entry of facility. Toxins / Sharps : LPA observed a secure area for sharps and toxins. Water Temperature: LPA tested hot water and it read as following: residents bathrooms read at 107 and 117 degrees, , residents sinks in bedrooms #1 and #2 read at 107 and 110 degrees. Emergency Supplies: LPA observed supply of emergency water and food. Medications, First-Aid Kit & Book: First aid kit observed contained all required items.