Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted a pre-licensing inspection for this proposed facility on 09/21/2022 at 09:15AM. LPA met with Licensee Representative/Administrator Oskar Kyle Arcenas. Entrance interview conducted.

A tour of the facility was initiated at 09:20AM with the licensee representative. LPA inspected facility for Fire Safety, Personal Accommodations and Services, Medication Procedures, and Food Service. The following was noted:

The facility consists of four (4) total bedrooms – all 4 are designated private rooms for client use as well as one private bathroom and one and a half shared bathrooms. Shared facility space includes a common living room, and dining area. Fire clearance was approved on 04/07/2022 for 4 total clients, two of which may be non-ambulatory in bedrooms #1 and #2.

Fire extinguishers were purchased on 03/26/2022. Fire alarms/carbon monoxide detectors were tested during today’s visit at 09:45AM and were functional. LPA observed all required postings on the wall in the main hallway/entryway.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of non-perishable food at the facility; properly stored. Cleaning supplies are stored under the sink in a locked cabinet. Knives and sharp objects are stored locked. Medication: Medications and client files will be stored in a locked kitchen cabinet. First aid supplies are available. Bedrooms: There are 4 total bedrooms in the facility. All 4 are private client bedrooms. All 4 client bedrooms were checked and only one of the bedrooms contained the required dresser drawer space for client use. All