Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 09:45 am to conduct a 1 year annual visit to the facility above. LPA met with Administrator Lita Lazo and explained the purpose of the visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety: The fire extinguishers were last charged and inspected on 11/4/24. The facility has 6 resident bedrooms, 1 staff bedroom and 3 bathrooms currently occupying 4 residents. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors which were tested and working at the time of visit. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety and lighting is sufficient for resident’s comfort. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care and locked under sink and garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use.

Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 8/1/25. The facility is approved for a capacity of 6. The fire clearance is granted for 6 Non-Ambulatory of which 1 may be bedridden. Hospice is approved for 3.

Staffing: The facility currently employes 2 full-time live-in staff and 2 Administrators. Licensee has two facilities and employs 21 staff that can be used for back up staffing if needed.