Facility Evaluation Report

Licensing Program Analysts (LPA) Imaculada Vasquez and Janira Arreola arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted and granted entry by Licensee Jacquelyn J. White. LPA's began inspection with introduction and visit purpose. Upon arrival LPA's learned that there are currently no clients residing at this facility and there is are no caregivers present.

Client Records/Incident Reports/Clients Rights Information: LPA's reviewed zero (0)client records.

Personnel Records/Training/ Staffing/ Administration: LPA's reviewed zero (0) employee records.

Food Service: Food prep areas are clean and organized.

Physical Plant and Safety of Environment/Operational Requirements: LPA's toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is maintained at a comfortable room temperature. Water temperature measured 113.0 degrees F. There is a locked location for storing laundry soap, cleaning supplies and chemicals in the closet in the laundry room, garage and under the sink. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is no emergency disaster plan available. There are no firearms at this facility. There is one (1) secured fireplace at this facility. There are zero (0) pools at the facility. There is one (1) secured gate that has a self-latching lock located on the northeast side of the house. In the garage LPA's observed two (2) oxgyen tanks.