Facility Evaluation Report

LPA's M. Jensen and T. White arrived to conduct an unannounced annual/required inspection on 1/25/2022. LPA's met with Guadalupe Yepiz and explained the purpose of the visit.

This facility is a single story building licensed to serve six (6) ambulatory residents. LPA toured the physical plant including but not limited to four resident bedrooms, two resident bathrooms, kitchen, garage, shed and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present.

LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 124.3 and 126.3 degrees Fahrenheit. There was cautionary signage posted in the bathrooms in regard to the hot water . Smoke and carbon monoxide detectors are in compliance with fire safety. Thermostat observed at (70) degrees Fahrenheit.

LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA reviewed resident and staff roster. LPA reviewed staff associations to the facility. First aid kit was checked and is complete. Required signage was posted as appropriate. Screening logs were reviewed and adequate.

No deficiencies were observed during the course of the visit. Exit interview was held with Guadalupe Yepiz and a copy of report given at the conclusion of the visit.