Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Jovita Nevado. The facility's license shows a maximum capacity of four (4) clients, three (3) of which may be non-ambulatory. During today’s inspection there were four (4) clients in care. Assistant Administrator Edgar "Jerry" Dacanay arrived later in the visit.

LPA and Caregiver Nevado toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order.

Hot water temperature at taps accessible to clients were all compliant: Bathroom sink was 107F and kitchen sink read at 111F. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked and inaccessible to clients in care.