Facility Evaluation Report

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection . The LPA was greeted by Caregiver Vivian De Peralta, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection.

Facility Overview: The facility is a single story building with 4 residents' bedrooms, 1 staff bedroom, 2 bathrooms, a dinning room, a living room, a kitchen, an office, an outdoor area, and a garage. There is no gated pool and there are no 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's requirements.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in a cabinet in the kitchen and inaccessible to residents. The smoke detector and carbon monoxide detector were operable. The fire extinguishers were not in compliance with the department's requirements and were last inspected 12-04-2023. The water temperature was tested and did not fall within regulations measuring 148.5 F. Citations will be issued