Facility Evaluation Report

On 4/7/22/22 Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of conducting a health and safety check. LPA Colvin was greeted and granted entry by Licensee Manuel Vasquez and informed him of the purpose of today's inspection. At the time of the visit there was (1) staff and two (2) residents present, as one resident is currently in the hospital.

LPA conducted a tour of the interior and exterior of the facility. The facility was clean and clutter free. LPA observed the facility to have the required of food, 2 day supply of perishable and a 7 day supply of non-perishable food items. The facility has an adequate supply of hygiene items and have the required covid postings. LPA Colvin was provided with a copy of the facility's staff schedule as well reviewed resident files to confirm plenty of staff present that the current ratio. LPA Colvin was additionally updated on which staff on the schedule (LIC500) are no longer working at the facility.

LPA Colvin observed all three residents present to be in no apparent acute distress, as they were either in their bedrooms or working on a puzzle in the common area. No health and safety concerns were observed.

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