Facility Evaluation Report

LPA Jason Lund arrived unannounced to conduct an annual/required visit. LPA Jason Lund met with Administrator Victor Cardona and explained the reason for the visit. Current census was 4 residents.

LPA Lund and Administrator Victor Cardona toured/inspected the facility. Common rooms, living spaces, and all areas intended for resident use were toured. LPA Lund observed furniture and furnishings were functional and in good repair at this time. Resident bedrooms were toured, furniture and furnishings were in good repair and in compliance at this time. Resident restrooms were toured. Kitchen area was toured. Cabinets and drawers were reviewed. Glassware, plates, and dinnerware were observed to be sufficient and able to meet the needs of the residents at this time. Food supply was reviewed for adequate 2-day perishable and 7-day non- perishable quantities. It was observed that additional non- perishable food quantities were maintained in the garage. Laundry area was toured. Laundry detergent, cleaning agents, and supplies were observed to be locked and made inaccessible to the residents at this time. Garage area was toured. Cleaning supplies were observed to be locked in this particular area. Exterior grounds of this facility was toured. Perimeter fence, side gates, and all exits were reviewed and found to be in compliance at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected on 01/18/2023 in compliance at this time.

First aid kit was observed to be stocked and contained all required components at this time. Medication cabinet, located in facility office, was observed to be locked and made inaccessible to the residents at this time.

There were no deficiencies observed or cited during today’s annual visit. Exit Interview