Facility Evaluation Report

On 7/20/2026 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Leonida Arinzane and explained the purpose of the visit. Administrator arrived later during the visit at 11:10am. The facility’s fire clearance was approved for all may be non-ambulatory and a hospice waiver for 2.

LPA toured facility with caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 77 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 110.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were unlocked and accessible to residents.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 8/13/2025. Emergency Disaster Plan was last reviewed on 7/30/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 5/1/2026.

LPA reviewed 3 of 3 residents records. LPA reviewed 3 staff records and 1 of 3 have current first aid training and 1 of 3 are associated to the facility.