Facility Evaluation Report

On 09/19/2025 at 11:30 AM, Licensing Program Analyst (LPA) Y. Brown conducted an unannounced annual 1-year required inspection. LPA met with LVN/ Care Staff Ruth Duffy and explained the purpose of the visit. Ruth phoned the Program Director (PD) Precious Yepez. PD arrived to the facility at around 12:00 PM.

The facility’s fire clearance was approved for four (4) residents, four (4) may be non-ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of four (4) bedrooms and two (2) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature for residents is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the resident.

All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for residents. Smoke detectors and carbon monoxide combination were in operating condition during visit. Fire extinguisher was last purchased on 8/4/2025. First aid kit was observed to be complete. LPA reviewed five (5) staff and three (3) resident records. LPA reviewed a sample of medication.