Facility Evaluation Report

Licensing Program Analyst (LPA) Ivashia Wright conducted an unannounced visit for a required annual inspection . The LPA was greeted by Caregiver, Asuncion Fetalvo, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Administrator Annalisa Blancaflor arrived shortly after.

Facility Overview: The facility is a single story building with four(4) residents bedrooms, two(2) bathrooms, one(1) staff room, a dinning room, a family room, a kitchen and a garage. There are no gated pool 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'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 kitchen cabinet and inaccessible to residents. The smoke detector and carbon monoxide detector were in good working condition. LPA observed fire extinguisher to be in compliance with the department's requirements and with an expiration date of 6/25/2026. The water temperature was tested within regulations measuring at 112.2.