Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 10:30AM. LPA met with Lead Caregiver Divina Bigay and explained the reason for the visit. Administrator Hermi Gonzalez arrived shortly thereafter. Entrance interview conducted.

Beginning at 11:00AM, the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguisher was fully charged with purchased date of 07/24/2024. Carbon monoxide and Hardwired smoke alarms were tested and all were functional at the time of the visit. LPA observed exit alarms by all doors which were functional at the time of the visit.

KITCHEN: LPA inspected the kitchen. Knives are locked in a drawer and cleaning supplies are stored inaccessible in a locked cabinet under the sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of 2 (two) days perishable and 7 (seven) days non-perishable food. Food was stored at appropriate temperatures.

BEDROOMS : There are 7 (seven) total bedrooms in the facility; 6 (six) are designated as private resident rooms and 1 (one) is designated as a staff room. All 6 (six) resident bedrooms have exits to the exterior. Bedrooms #2, #5, and #6 have private bathrooms. All resident rooms are appropriately furnished and lighting in the rooms appeared adequate. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. The bedrooms were large enough to allow for easy passage. Report Continued on LIC 809-C