Facility Evaluation Report

Licensing Program Analyst (LPA), Martha Arroyo conducted a pre-licensing visit to this property at 9:00am on 02/17/2023 and met with Applicant Representative Favar Miranda and Administrator Kathleen Leiterman. The applicant has obtained fire clearance for a total capacity of five (5) non-ambulatory residents, and one (1) bedridden resident in bedroom #1 for a total capacity of six (6) residents.

LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. At 9:30am, all hard-wired smoke alarms, fire alarm, and carbon monoxide detectors were tested and function properly. LPA observed two (2) fire extinguishers to be fully charged.

There are three (3) double occupancy bedrooms for resident use. There is one (1) staff room for the live-in staff. Each bedroom is equipped with clean mattresses, pillows, and bedding. There is sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting. The facility has two (2) bathroom for resident use. Resident bathrooms contained appropriate non-skid mats and grab bars. Bathrooms have sufficient paper products. Night-lights were present throughout. Hot water measured in each bathroom; both bathrooms measured at 105.3 degrees Fahrenheit.

LPA toured the kitchen area at 9:15am. The facility has at least seven (7) day supply of non-perishable food. Appliances and all equipment appear to be clean and in good repair. Kitchen knives are stored in two (2) drawers locked adjacent to the refrigerator. The kitchen has a sufficient supply of plates, cups, cook ware and utensils

The living areas and dining areas are clean and properly furnished. All window screens and coverings are in good repair. Enough seating for six (6) residents at the same time in the dining room table. A working telephone is present. There are activity supplies for residents.