Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 9:45 A.M. Upon arrival LPA met with caregiver, Veaarrahria “Vea” Vicedo who called Administrator via phone. At 10:12 A.M., Assistant Administrator Tammy Frame arrived at the facility. Assistant Administrator stated that Administrator, Mirvat Yacoub, was not able to be present at the time of the visit, however, Assistant Administrator is authorized to sign today’s report. LPA explained reason for visit. The last annual conducted at this facility was on 10/19/2023. Upon arrival, there were two staff members, and four residents present. Entrance interview conducted.

Starting at 10:15 A.M., the LPA, along with Assistant Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

Bedrooms: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are four (4) total bedrooms, two (2) shared and two (2) private, and one (1) staff room. Room #2 is cleared as a bedridden room. LPA observed that Room #2 is equipped with a fire door, and it has a direct exit to the backyard in case of an emergency. At the time of the visit, LPA observed fire door held open with a magnetic door holder and working when smoke alarm test was conducted. No bedroom was used as a passageway to another room, bath, or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair.