Facility Evaluation Report

On 04/19/2022 at At 9:25 am, Licensing Program Analysts (LPAs) T. White and R. Campbell arrived unannounced to conduct a Required 1-year annual inspection. LPAs met with Licensee, Corazon Poier and explained the purpose of today’s inspection. LPAs were allowed entry into the facility that is licensed to serve a total capacity of 6 residents.

LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 107 degrees Fahrenheit. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during inspection. Fire extinguisher was last serviced on February 07, 2022. Emergency Disaster Plan was last posted on 05/14/2021. First aid kit was observed to be complete. Fire drill was last conducted on 03/07/2022. LPAs reviewed 3 resident files and 2 staff record files.

Exit interview conducted with Licensee and Caregiver. A copy of report given.