Facility Evaluation Report

On 9/14/24, Licensing Program Analyst (LPA) M Medina conducted an unannounced Annual Required Inspection. LPA arrived, introduced self and stated purpose of visit. LPA met with Licensee Marycruz Leyva to conduct inspection. Marycruz Leyva also serves as facility Administrator certificate #6050346735, expires 12/06/2024.

Facility toured. Inside of facility observed to be clean, odor free, and well lit. All common areas observed to have adequate seating available. Resident bedrooms, observed to be clean, beds had adequate linen, and all required furnishings. Bathroom toured, fixtures observed to be operational during inspection. Water temperature measured at 105 degrees F. Kitchen toured, LPA observed a 2-day supply of perishable and 7-day supply of non-perishable available .Knives are locked and secured in kitchen drawer. Medications are locked and secured in medication room. Medications observed to have original labels and be administered as prescribed. All cleaning supplies are locked and secured in laundry room

Fire extinguisher present with a service date of 7/6/24. Facility equipped with pull station. Carbon monoxide detector present and observed operational during facility inspection. Last fire drill conducted on 8/23/2024 according to facility records.

Outside of facility toured. All exits open free of obstruction. No hazards observed.

LPA received copies of LIC 500 and LIC 9020 during facility inspection.

No deficiencies cited during inspection. Exit interview conducted and a copy of report provided for facility records.