Facility Evaluation Report

An Annual visit was conducted on the date & times indicated above by Licensing Program Analyst (LPA) K. Mcclurg. LPM met with Administrator (Admin) Maria Perez &Program Liaison & Quality Assurance Development (PLAD) Antoinette Moore, greeted one another, stated purpose of visit, & was allowed to proceed with visit.

Physical plant observed. Sufficient furnishings with adequate lighting in living, dining, & resident rooms. Resident bathrooms have working fixtures. 2 day supply perishable & 7 day supply non-perishable food on premises. Hazardous items, including detergents, cleansers, etc. maintained in locked area inaccessible to clients & not stored with food.

Medications locked & organized. Medication paperwork appropriately maintained. MARs maintained. Client files reviewed. Staff files reviewed. Administrator Cert # 6063117735 exp 5/22/26. Complete 1st aid kit available.

This facility has an in-ground pool with 5 foot fence & locking gate was locked. Staff have water safety certificates. Operational smoke & carbon monoxide detectors. Fire extinguisher service date 12/22/23.

Exit interview conducted. Report provided.