Facility Evaluation Report

Licensing Program Analyst (LPA) Javier Prieto conducted an unannounced annual inspection. LPA met with Maria Theresa Javier, lead staff. The home is licensed for 6 ambulatory residents.

The home is a five (5) bedroom, two and a half (2 1/2) bath home with a living room, dining room and kitchen. All bedrooms are furnished with bed, night stand, dresser and chair. Bedrooms have adequate lighting for residents’ use. The facility currently has linens, towels and a sufficient amount of hygiene products for residents. Staff and resident files are locked in the hall closet. The medications are locked in the hall closet as well. The chemicals are locked and kept in a separate under the bathroom sink. The backyard was observed to be fully fenced with an unlocked gate. Also, has with table and chairs for client’s comfort while sitting outside.

During the visit LPA discussed infection control procedures and practices with Ms Javier . The home appeared to be in compliance and no deficiencies were observed or cited.

An exit interview was conducted and a copy of this report was reviewed with and provided to Ms Javier