Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 8:55 am to conduct a 1-year annual visit to the facility above. LPA met Administrator Marisa Cardona 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 facility is 4 bedroom and 3 bathroom currently occupying 4 residents. The facility is clean, safe, and sanitary. The facility has dual smoke and carbon monoxide detectors and were tested and working at time of visit. The lighting and lamps are sufficient for the use of the facility and for client’s comfort. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The pathways are clear of any obstructions. Disinfectants, cleaning solutions and poisons are in a locked closet off the main hallway, this door self-locks when closed. The facility has sufficient space inside and outside for activities and visiting. The facility has an enclosed backyard for client use with plenty of shade. The facility has telephone and internet service for client use.

Operational Requirements: The facility has a current plan of operation and infection control plan on file with the department. The facility is operating in compliance with the granted fire clearance.

Personnel Records & Training: The facility employes 12 staff on schedule, or on call and 1 Administrator. LPA reviewed 5 staff files. Updates to staff files was discussed and a copy of the LIC 311C form were provided. Administrator certificate expires 2/17/2027.