Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced Required 1 Year visit and met with Administrator, Beverly Oliveros and stated the purpose of the visit.

The facility serves 5 adults with special health care needs who are developmentally disabled 18 years and over and all five may be bedridden .

LPA inspected the kitchen, dining, activity room, 5 resident room, garage, bathroom and exterior perimeter.

LPA observed food supply of at least 2 days of perishable food and 7 days of nonperishable food, including emergency supply formulas for 7 days. Sharps and medications were locked in secured areas. Cleaning and laundry supplies are in a separate storage and locked under the sink. The water temperature in the kitchen measured at 112.8

The facility bathroom had available soap, paper towels, and trash cans with lids. The shower is equipped to serve adults who are non-ambulatory, non-skid mats and grab bars. The water temperature in the bathroom measured at 118.9 degree F.

Facility smoke detectors and carbon monoxide detectors were in working condition. 5 out of 5 resident bedrooms had available bedding, drawers, and functioning lights. LPA toured the inside and outside of the facility. The facility is equipped with generator. The exterior walkways, pathways and exits were free from obstruction.