Facility Evaluation Report

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

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

LPA toured the facility with ADM inside and outside. Including but not limited to the kitchen, dining, activity room, 5 resident room, garage, bathroom and exterior perimeter. The facility is organized and sanitary.

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. Residents room have storage to store personal items.

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 and kitchen are measured at 106.1 degree F. The facility temperature is at 70 degree F. Refrigerator used by staff is at 32 degree F and freezer is at 0 degree F.