Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette responded to the facility to conduct an Annual Inspection. LPA was granted entry by Licensee/Administrator Jose Pira

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked. LPA observed an adequate supply of food. Resident rooms checked. Hot water measured at 106.3degrees F. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching.

Fire extinguisher serviced on 05/13/2025. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Facility has a pull station fire alarm. All cleaning supplies are locked and secured in a cabinet in the garage. Medications were locked in a cabinet in the kitchen.

Facility does not currently have any residents or staff.

An exit interview was conducted with the Administrator and a copy of this report was provided.