Facility Evaluation Report

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with administrator Jennifer Mercado and explained the purpose of the visit. Two residents were present at the time of this visit, and two more were out at day program.

Mercado's administrative certificate number is 6059329735 and it expires on 12/23/23.

LPA Moleski reviewed three resident files (R1-R3) and three staff files (S1-S3).

LPA Moleski toured the facility with Mercado and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 73 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature was tested and measured 117 degrees Fahrenheit, which is within the required range of 105 and 120 degrees.

LPA Moleski observed a first aid kit, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day perishable supply of food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed a locked cabinet for the storage of cleaning solutions and knives.

LPA Moleski interviewed one staff member (S4).

No deficiencies were cited during this visit. An exit interview was conducted and a copy of this report was left with Mercado.