Facility Evaluation Report

At 11:00 am, Licensing Program Analyst (LPA) Chavez conducted a scheduled pre-licensing visit to the facility above. LPA met with Jennifer Villaros, Administrator, and Jessica Rust, Caregiver, and explained the purpose of the visit. Administrator took LPA on a tour of the facility. There are currently no residents being served at the facility and the only staff currently working in the facility is the Administrator.

Medications: The facility has a locked medication cabinet in the kitchen for resident medications.

Physical Plant: Facility is clean, sanitary, and in good repair with a couple of exceptions listed below. There is a main family room, kitchen, laundry room, four bedrooms, and two bathrooms. Bedrooms #3 and #4 have furniture to occupy two residents in each room. Bedroom #4 is missing a second chair. Administrator will place a second chair in the room, take a photo, and send it to LPA. Kitchen cleaning supplies are kept in a locked cabinet under the kitchen sink. Bathroom cleaning supplies are in locked cabinets under sinks. Laundry cleaning supplies are in a locked cabinet above washing machine and dryer. Walls, ceilings, floors, and areas inside the facility are clean, painted and/or in good repair.

A fire extinguisher is located in the dining room with the dial in the green zone, however, the tag does not show it was inspected. Administrator will take the extinguisher to the fire department and have it inspected and compliance recorded. Administrator will take a photo of the fire extinguisher in the facility after the compliance has been recorded on the extinguisher tag, and send to LPA. Smoke detectors (5) and carbon monoxide detector (1) are in the hallway and bedrooms and were tested and working properly. Doors and passageways are unobstructed. The facility does not keep firearms or ammunition on the premises. Bathrooms are kept clean and in good repair. Water temperature in the hallway bathroom registered at 100 F degrees and the bathroom in Bedroom #3 registered at 101 F degrees. The facility maintains a comfortable temperature of 72 F degrees.