Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Administrator Azarel James Equing.

During visit, LPA toured the facility inside and out. LPA toured the kitchen area and observed there to be locked storage areas for sharp objects and cleaning supplies. LPA observed the refrigerator and food storage areas and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA toured six out of six bedrooms. Each bedroom had working lights and available bedding and clothing storage areas.

LPA toured the outside area and found the exits to be clear of obstructions.

LPA tested the smoke detectors in each resident bedroom and in the hallways. All smoke detectors functioned properly when tested. LPA tested the carbon monoxide detector in the kitchen and it functioned properly when tested.

LPA toured two out of two resident bathrooms. Each bathroom had working lights and available soap and paper towels. The water temperatures in the bathroom sinks were 111 F.

See LIC809-C page for more information. Page 1 of 2.