Facility Evaluation Report

Licensing Program Analyst (LPA) Angel Ascencio conducted an unannounced required annual visit

to the facility above. LPA Ascencio met with the Administrator Judith Flickner and explained the

reason for the visit. At 12:14 p.m., the LPA, along with the Admin toured the physical plant areas

inside and outside to ensure that there are no health and safety hazards.

RESTROOMS : There are four (4) total bathrooms at the facility. One (1) is designated as a shower bathroom. The client bathroom has a shower with non-skid materials. The toilet and showers have grab bars. The hot water temperature was tested in the bathrooms and kitchen. Areas were found to be within the range of 105*F and 120*F.

COMMON SPACES/ACTIVITY SPACE: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was

observed to be in good condition. Chairs were observed to be at least 6 (six) feet apart for social

distancing. The LPA observed the required postings in the common hallway. The fire extinguisher was

observed to be serviced within the last year. The facilities smoke detectors and carbon monoxide alarms were tested throughout the facility and seemed to work properly at the time of visit. LPA received the 5-Year Inspection, Testing and Maintenance from CINTAS Fire Protection dated 12/21/2018. Medication was observed to be locked and contained 30 days of medication. There were no bodies of water noted.

KITCHEN: Kitchen knives are stored in the locked cabinet in the office. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the

refrigerator was maintained at 40*F. The supply of nonperishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils.