Facility Evaluation Report

On 05/16/23 at 08:58 AM, Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Natalia Womack, and introduced self and stated the purpose of the visit. LPA was informed that there are currently 4 residents in care who are in the facility. Staff, Womack provided LPA with the introduction tour of the facility and Administrator Harris ended the tour with LPA.

The facility has 3 resident bedrooms, 3 bathrooms in which one is for staff, 2 offices, a kitchen, dining area, living room, attached garage, and backyard. LPA completed a walk through of facility and review of records.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 120 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms and two charged fire extinguishers. Posters such as; the personal rights, visitors rules, and disaster plans were posted in the office. Cleaning supplies, toxins, and other dangerous items were kept secure locked in the closet and inaccessible to residents. Sharps and knives are locked in a cabinet inside the Administrator's office along with the emergency kits. Resident/staff files are also kept locked inside the office. Medications and first aid kits were observed locked in storage cabinets and inaccessible to residents. LPA observed plenty of towels, linens and comforters in hallway cabinet available for 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 for number of residents in care. Facility has a wide variety of food available for residents. Dishes, cups, and utensils were also stored properly. Emergency food and water were also observed.