Facility Evaluation Report

On 2/4/2026 at 8:30 AM, Licensing Program Analysts (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Meeran Saxena and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents.

LPA toured facility with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedrooms are occupied by staff. All outdoor and indoor passageways are not kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. There is a minimum of 2-day supply of perishable foods. Centrally stored medication and sharps were not locked and inaccessible to residents. Hot water temperature measured at 121.0 and 119.9 Degrees Fahrenheit.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last purchased on December 2025. Emergency Disaster Plan was last posted on 11/24/2024 (TV issued). First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/16/2025.

At 10:00am, LPA reviewed 6 residents records. At 10:30 am, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility.