Facility Evaluation Report

LPA Jason Lund arrived unannounced to conduct one year annual/required visit. LPA Lund explained the reason for the visits to Administrator Genaro Baisac Jr. Census: 2

LPA Lund & Administrator Genaro Baisac Jr toured/inspected the facility, dining area, living area, and all other areas intended for client use. LPA observed to be furnished and maintained in compliance at this time.

The Facility had a Medication cabinet (locked) were medication is stored. First aid kit was observed in the Medication cabinet to be present and contained all required components at this time.A tour of the (3) resident bedrooms, was conducted. Furnishings for use by the residents were observed to meet the needs of the residents at this time. The Facility also had a staff bedroom which was a master bedroom. The facility also had one bathroom for the residents. A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and walkways were observed to be maintained in compliance at this time. The facility has two fire extinguishers and carbon monoxide are in compliance at this time. LPA Lund reviewed two staff & two residents files are in compliance.

No deficiencies were cited at this time and copy of report given.