Facility Evaluation Report

Licensing Program Analyst (LPA) Rayshaun Nickolas visited the facility unannounced to complete a comprehensive annual inspection. LPA Nickolas met with Licensee/Administrator Wilfredo Alcon and explained the purpose of the visit. Today’s inspection included a facility tour, record reviews, and interviews with staff and residents.

The facility is four (4) bedrooms and two and a half (2 ½) bathrooms of which three (3) bedrooms are used for residents in care. The facility also has kitchen/dining area, living area, outdoor seating, and attached garage. Licensed capacity is four (4).

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility temperature is 76 degrees Fahrenheit. LPA inspected resident bedrooms; each room included required furniture such as mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were functional. LPA Nickolas' observed adequate furniture and lighting throughout the facility. The hot water temperature tested within regulation at 105-degree Fahrenheit. The facility has operating smoke detectors and carbon monoxide alarms, which LPA Nickolas tested during the visit. The facility has one (1) charged fire extinguisher, that is serviced annually. LPA Nickolas observed personal rights posters, Licensing documents, and the disaster plan posted throughout the facility. LPA Nickolas observed that cleaning supplies, toxins, sharps, and other dangerous items are kept secure and inaccessible to residents in care. There was a designated storage space for client/staff files. LPA Nickolas observed medications locked and inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.

Food Service: Non-perishable and perishable food supply is sufficient in number for residents in care. The facility has a variety of food available for residents. Dishes, cups, and utensils were also appropriately stored.