Facility Evaluation Report

Licensing Program Analysts (LPA) Seo Jeon and Ferrer Sabarias conducted an unannounced annual required visit. Upon entry, LPA was greeted by Tanya Pellum, house manager, and informed them of the purpose of the visit. At the time of the visit, there were (2) staff members and (2) residents present.

Facility Overview: The facility is a one-story home with (4) bedrooms and (3) bathrooms, including an attached garage. There are no pools or firearms on the premises.

Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Fire extinguisher in kitchen wall has current inspection tag. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 108.5°F.

Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods.