Facility Evaluation Report

Licensing program Analyst (LPA) Jason Lund arrived unannounced annual/required inspection. LPA Lund met with Licensee Kalaita Franco explained the purpose of the visit. Census:3

LPA Lund and Licensee Kalaita Franco toured/inspected the facility with licensee. Each room is equipped with a bed for each resident working lights and a night stand. Bathroom next to the staff room & Room 1 was observed. Room 2 and 3 and bathroom were observed. Facility has functioning smoke detectors/carbon monoxide detectors in the hallway, and in each resident room. Facility has a written emergency disaster plan. All outdoor and indoor passageway are free and clear of obstruction. All toilets and showers have grab bars installed for residents' use. No pools or bodies of water were observed during today's visit. LPA observed at least one week of nonperishable and two (2) days of perishable foods. Toxic chemicals are stored away in the garage. Centrally stored medications are locked in two kitchen cabinet. Licensee stated that there are no Medication Administration Record Sheet for all three residents in care. Licensee stated there are no firearms or ammunition at the facility. Fire extinguishers located in the family room and living rooms, inspected on 11/15/2018 and are out of regulation.