Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified herself and was granted entry by House Manager, Ana Kairuz. Administrator Catherine Hoffman arrived at the facility during the inspection. All staff members at the facility had criminal record clearances.

According to the facility’s license, the facility has a maximum capacity of four (4) clients, of which all must be ambulatory. During today’s inspection, there were a total of four (4) clients in care, of which four (4) clients were ambulatory. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Caregiver, Anna Kairuz, toured the interior and exterior of the facility, and inspected the rooms. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. The doors, toilet, and shower were in working order. 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’s internal temperature and refrigerator and freezer temperatures were within the regulatory range.

During today’s visit, LPA observed, via measurement with a thermometer, was within the regulatory range, at 114 degrees.