Facility Evaluation Report

On 05/07/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured the facility with Staff 1 (S1). Administrator (AD) Cleo Ramirez was notified of Licensing visit over the phone but was unable to attend. Mark Townsend Licensee was contacted and able to attend visit.

The facility was observed to be at a comfortable temperature, of 73 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in common area after lunch watching television, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility.

Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. A fire extinguisher was observed with a service date of 02/12/2024. All six private residents’ bedrooms were observed to be at comfortable temperatures. The bathroom’s water temperature was tested bathroom 1 105.0 degrees F and bathroom 2 111.0 degrees F.

Medications observed to be locked in a cabinet in the kitchen area. LPA reviewed medication records to be administered properly at time of inspection. Cleaning supplies were observed to be in a locked cabinet in the storage it the laundry room. An outdoor seating area was observed operational for residents in care.

LPA reviewed staff and residents’ files. No deficiencies were observed and cited.

Exit interview conducted. A report was signed, and a copy of this report was provided for facility records.