Facility Evaluation Report

On 02/12/2025 at 9:53AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Caregiver, Joy Ballares and explained the purpose of the visit. Administrator, Ronan Rances arrived at 10:28AM. The facility’s fire clearance was approved for four (4) non-ambulatory and two (2) ambulatory residents. Hospice waiver approved for four (4) residents.

LPA toured facility with caregiver, Joy Ballares including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (6) total bedrooms, one (1) bedroom vacant and one (1) bedroom occupied by staff and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 68 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 119.2 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.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was purchased on 01/10/2025. First aid kit was observed to be complete. Fire drill last conducted on 02/05/2025. Emergency disaster plan updated 05/05/2024.