Facility Evaluation Report

On 12/22/2025, 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 by Staff 1 (S1), Administrator was contacted by phone and arrived a short moment later. LPA toured facility with Assistant Administrator (AA) - Cody Alzina.

The facility was observed to be at a comfortable temperature, of 71 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 in the afternoon 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.

Fire extinguisher was observed with a service date of 07/16/2025. All 6 residents’ bedrooms were observed to be with comfortable temperature. Bathroom water temperature was tested and recorded reading of 115.8 degrees F.

Medications observed to be locked in a cabinet near the kitchen. LPA reviewed medication records are maintained at the time of inspection. Cleaning supplies were observed to be in a locked and inaccessible to residents. LPA reviewed Staff and Resident files. Resident files observed to have updated information.