Facility Evaluation Report

On 11/13/2025 at 11:30AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Flory Mae Muertequi, Caregiver and explained the purpose of the visit. The facility has a fire clearance for two (2) ambulatory and four (4) non-ambulatory residents. A hospice waiver for four (4) residents.

LPA toured facility with Flory Mae Muertequi, Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of four (4) total bedrooms, and three (3) bathrooms. All outdoor and indoor passageways are 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 is adequate for the comfort and safety of the residents. The hot water temperature in the resident’s shared bathroom was measured at 109.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of nonperishable and 2 days of perishable foods.