Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross arrived to the facility to conduct a required annual inspection and was greeted by Caregiver,Thelma Benavidez, and the purpose of the visit was explained. Licensees/Administrators Jose Ricar Ramirez and Helen Ramirez arrived shortly. Present at the facility were two (2) staff and five (5) clients. The facility is approved for seven (7) non-ambulatory elderly residents; age 60 and above.

The facility is a one story, six (6) bedroom house. There are three (3) private client rooms and two shared client rooms. There is also a bedroom for live-in staff. LPA toured the facility and conducted a general overall inspection of the facility inside and outside. Passageways were observed to be free of obstructions. LPA observed each bedroom to be clean and odor free with the required furnishings. Furniture throughout the facility was in good repair. The facility temperature was 76 degrees. Hot water temperature tested at 119 degrees Fahrenheit. Each bathroom contained grab bars for each toilet, bathtub and shower; and non-skid mats or strips in shower or bathtub.

LPA observed the kitchen in its entirety. The kitchen appeared clean and odor free. Dishes, cups, pots and pans were observed to be of good quality and quantity. The facility contains a sufficient supply of perishable and non-perishable foods.

There are no firearms/weapons stored in the facility. LPA reviewed facility records to ensure staff have received required training and criminal record clearances. LPA also determined there were no excluded personnel employed by the facility. All staff are properly associated to the facility with current first aid certification. First aid kit was available and contained the necessary items.