Facility Evaluation Report

Licensing Program Analyst (LPA) Tammer De Los Santos conducted an announced Pre-Licensing inspection. LPA identified himself, discussed the purpose of the visit, and met with Administrator Jofel Velasco.

LPA conducted a tour of the facility, both inside and outside. There are no pools on site. The smoke and carbon monoxide alarms were present. Toilets intended for resident use were operating as intended, and bathing facilities were observed to be clean and kempt. The windows, blinds, and paint throughout the facility, were observed in good condition. Each room intended for resident use had the appropriate furniture, bedding, and appropriate lighting.

Administrator stated there are no firearms stored on the premises.

Hot water temperature was measured in the facility at 110 degrees F. The ambient temperature inside the facility was measured at 69 degrees F. The refrigerators and freezers were observed to be clean and operational, with an ample amount of food to meet client needs. Cleaning solutions were also properly secured.

The Component III portion of the application process was completed with the Administrator on today's date as well.

Pre-Licensing is complete, and this facility has no deficiencies. An exit interview was conducted with Administrator Jofel Velasco. The Applicant was provided with a copy of this report and Appeal/Licensee rights (LIC9058) via hardcopy at the conclusion of the visit.