Facility Evaluation Report

On 08/20/2024 at 1:20PM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Mariazita Jardeleza and explained the purpose of the visit. Velba Villanueva, Administrator arrived at 2:50pm, the Administrator currently holds a certificate (#6024026740) that expired on 05/18/2024. The facility’s fire clearance was approved for four (4) non-ambulatory residents.

LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of three (3) total bedrooms which one (1) bedroom is occupied by staff. No bodies of water observed. A comfortable temperature is maintained in the home. 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 113.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 05/04/2022. First aid kit was observed to be complete.