Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's required 1 - year annual inspection. LPA met with designated Administrator (ADM), Angelica Suud.

LPA toured the facility with ADM to include the office rooms, hallways, living room, medication room, kitchen, dining room, laundry room, 5 resident bedrooms, bathrooms, and exterior. All fire exit routes are free and clear of obstruction. During visit, at least 2 staff members were observed on duty.

Facility's temperature maintained at 71 degrees F. Smoke detectors and carbon monoxide detectors observed present. Fire extinguisher last serviced on 02/29/2024. Fireplace observed screened and blocked in the living room area. Kitchen supplied with at least 2 days worth of perishables and 7 days worth of non-perishable foods. LPA randomly opened the drawers and cabinets in the kitchen and did not observe sharp objects, chemicals or disinfectants that are easily accessible. Refrigerator temperature maintained at 35 degrees F and freezer temperature maintained at -4 degrees F. Laundry room that contained chemicals, disinfectants, and sharp objects observed locked. LPA observed the laundry room is equipped with non-perishable foods inside the cabinets. Chemicals and disinfectants are stored in separate cabinets than the food supplies.

5 resident bedrooms observed with beds, linens, closet space, and adequate lighting. Bathroom hot water temperature maintained between 108.5 - 109.2 degrees F. Bathrooms observed with non-slid floors. The bathroom shower next to room #6 observed with black grout between the shower tile. LPA advised to clean the grout to ensure there no mold for the health and safety of the clients. PAGE 1 OF 3.