Facility Evaluation Report

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by House sitter and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that zero (0) clients reside at this facility and there are no staff present. There is an Infection Control Plan on file.

Client Records-Incident Reports/Clients Rights-Information/Dental- LPA observed there are no clients in care and that client records will be stored in a locked cabinet.

Personnel Records/Training/and Staffing- LPA did not observe staff in the home as there are no clients in care and current administrator certification; expiration date 05/25/2025.

Food Service- Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for chemicals and sharps in the kitchen.