Facility Evaluation Report

Licensing Program Analyst (LPA) Rankin arrived at 8:15 am and made an unannounced 1-year required annual visit to the facility above. LPA’s met with Nereida Leal, back-up Administrator 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 08/23/2024. The facility is a four (4) bedroom and three (3) bathroom facility currently occupying four (4) residents. There are two (2) additional restrooms inaccessible to residents and for staff only. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors that were tested. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid flooring. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety.

Disinfectant, cleaning solutions are inaccessible to residents in care locked and stored in the laundry room and or locked under kitchen sink. 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 current liability insurance and expires on July 1, 2025. 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 is approved for a capacity of four (4). The fire clearance is granted for four (4) Ambulatory of which three (3) may be non-Ambulatory and one (1) may be bedridden. Continued on 809-C