Facility Evaluation Report

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Facility Administrator Bertha Rodriguez (FA). The facility's license shows a maximum capacity of six (6) ambulatory adults, ages 18 to 59.

LPA arrived at 8:30 AM, and requested staff and residents records. At 11:00 AM, LPA and FA toured the facility’s interior and exterior, and inspected each of the residents’ rooms, one staff room, as well as two bathrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings and were personalized by the clients. Doors, windows, screens, toilet, and shower were in working order. Extra linen and hygiene supplies were present, as well as Personal Protective Equipment.

The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days of non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Toxic chemicals, poisons were locked in a cabinet.

LPA measured the water temperature in the clients bathrooms and the kitchen sink in Fahrenheit degrees: B1 105.8, B2 105.4, kitchen 106.2.