Facility Evaluation Report

At 9:00am on 10/02/2025. Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the annual facility inspection. LPA met with Licensee/Administrator, Lita Lazo announced who he is and the reason for the visit.

During the time of the inspection there were zero Residents residing at this facility. Administrator and LPA conducted a cursory physical tour of the facility. LPA noted that this is an 8 bedroom, 10 bathroom, 3 living rooms (one living rooms is a dinning/living rooms), one main kitchen and one kitchenette. The outside is an expansive area around the facility and there are chars and covered patio for activities and visitors near the front entrance. Six bedrooms are single client occupancy, and the other two bedrooms are designated as staff bedrooms. All 8 bedrooms have on suite bathrooms and there are an additional two bathrooms located in common areas of the facility. All bathrooms had paper towels and liquid soap. Water temperature was tested throughout the facility to be within regulation parameters (105*-120*(f)). LPA observed proper linens and furniture in all resident bedrooms. LPA reviewed infection control plan. emergency disaster plan, and staff files. LPA reviewed all of the care tool modules with Licensee. During the physical inspection the following deficiencies were cited: (87555(b)(23)) Food storage, peanuts and fruits were left out and not properly stored which resulted in mold and knats accumulation over the peanuts and fruits; (87203) Fire Safety, two of eleven smoke detectors were not functioning at time of annual inspection; and (87307(d)(6)) Hallway leading to exit was obstructed by boxes of planed storage. At this time there are no other violations or citations issued as a result of the facility annual inspection.

Exit interview, report read, report and appeal rights provided.