Facility Evaluation Report

Licensing Program Analyst (LPA) Crsytal Colvin, conducted an unannounced visit to the facility for the purpose of a health and safety check. LPA Colvin met with licensee Manuel Vasquez, who was informed of the purpose of the visit.

At the time of the visit there was (2) residents and (1) staff present. LPA Colvin observed the facility to be within the required ratio of 3 to 1. LPA conducted a tour of the interior and exterior of the facility. LPA checked the facilities paper supply, medication supply for residents, PPE supplies, and food supplies. LPA observed that these were in sufficient numbers for the present number of residents. LPA Colvin confirmed all hazardous items were locked and inaccessible during LPA Colvin's inspection.

Both residents were outside in the backyard during LPA Colvin's inspection, and Licensee/Administrator informed LPA Colvin that they were about to go on a trip to the electronic store to repair a resident's iPad.

No immediate health or safety issues noted during today's inspection.

An exit interview was conducted and a copy of this report was provided to Licensee/Administrator Manuel Vasquez.