Facility Evaluation Report

Licensing Program Analysts (LPAs) Vincent Moleski and Jason Lund arrived announced to conduct a prelicensing visit. LPAs Moleski and Lund met with Annabelle Cruz and explained the purpose of the visit. There is one client in care at the home through Enriching Lives.

The home has a fire clearance for two ambulatory residents in bedrooms 4 and 2, and one non-ambulatory resident in bedroom 3.

LPAs Moleski and Lund toured the home with Cruz.. LPAs observed the kitchen area, dining area, common areas, bedrooms, bathrooms, garage and outdoor areas. Furniture and fixtures appeared sufficient to meet the needs of the residents. Water temperature was tested and was within the required range of 105 and 120 degrees. An up-to-date fire extinguisher was observed. Smoke and carbon detectors were observed and tested to be in good working order. LPAs Moleski and Lund observed locked cabinets for the storage of toxins, cleaning solutions and knives.

Component III was completed during this visit. An exit interview was conducted and a copy of this report was left with Cruz.