Facility Evaluation Report

On 3/27/2024, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct a change of ownership prelicensing visit. Upon entry into the facility, the LPA informed Executive Director (ED) Gilbert Castro of the purpose of the visit.

LPA toured the facility inside out with the ED. The LPA inspected the kitchen, dining areas, restrooms, community living spaces, bedrooms, bathrooms, trash areas, and the exterior of the facility. The facility was appropriately furnished and well lit. Professional grade equipment was installed and maintained for resident care. Food supplies were checked and observed to be sufficient and new orders come on a regular basis. No swimming pool or other body of water was on the facility grounds. Medications are centrally stored. Bathrooms and showers were observed equipped with grab bars and non-skid mats. Carbon monoxide and smoke detectors operational. First aid kit inspected. Fire extinguishers were serviced 1/31/2024. Facility has emergency lighting. Hot water temperature in one of the common areas was tested and measured at 115.9 degrees Fahrenheit at 3:14 PM. Complaint poster, Ombudsman and Personal Rights posters, Theft and Loss Policy, Rights to Resident Council and Rights to Family Council were observed posted in a prominent place.

Facility passed pre-licensing inspection and Component III training provided for ED Castro. Final review of application and license to be granted by Central Applications Bureau analyst.

Exit interview conducted and copy of this report provided via email to ED Castro.