Facility Evaluation Report

On 6/5/2025 at 1:45pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced 1-Year required inspection. LPA met with Laly Bascao, Caregiver, Caregiver , and explained the purpose of the visit. The facility’s fire clearance was approved for four (4) ambulatory, two (2) non-ambulatory, of which one may be a bedridden resident. Facility has a hospice waiver for two (2).

LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of six (6) total bedrooms two one-half (2-1/2) bathrooms. LPA observed pool in the backyard has locked gate. A comfortable temperature is maintained at 73 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 99.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 11/23/2024. Emergency Disaster Plan was last reviewed on 5/1/2025. First aid kit was observed to be complete.