Facility Evaluation Report

Licensing Program Analyst (LPA) Ivashia Wright conducted an unannounced annual required visit. Upon entry, LPA was greeted by Milagros Jacob, caregiver, and informed them of the purpose of the visit. Administrator Agnes Martinez arrived shortly after. At the time of the visit, there were two (2) staff members and five (5) residents present.

Facility Overview : The facility is a single story building with five (5) residents bedrooms, three and half (3.5) bathrooms, a dinning room, an office, a kitchen 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 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 under kitchen cabinet and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was measured at 112.6 meeting the department requirements. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of 3/8/2027.

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.