Facility Evaluation Report

Licensing Program Analyst (LPA) Crystal Colvin conducted an unannounced visit to the facility for the purpose of a health and safety check. LPA Colvin met with facility staff Fernando Perez, who was informed of the purpose of the visit.

At the time of the visit there was (1) resident and (1) staff present. LPA Colvin observed the facility to be within the required ratio of 3 to 1. LPA Colvin conducted a tour of the interior and exterior of the facility, and checked the facilities paper supply, medications, PPE supplies, and food supplies. LPA Colvin observed that these items were in sufficient numbers for the amount of residents at the facility.

LPA Colvin observed Resident (R1) asleep in their bedroom. The facility's second resident (R2) was out at Day Program during LPA Colvin's visit. No immediate health and safety concerns were observed at this time.

An exit interview was conducted where this report was reviewed and provided to facility staff Fernando Perez.