Facility Evaluation Report

On 07/25/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self to staff, stated the purpose of the visit, and was granted entry to the facility. Administrator was notified of Licensing visit over the phone and was not able to attend the visit, Administrator granted permission for Assistant Administrator to sign document. LPA toured the facility with facility Assistant Administrator (AA) – Erica Dominguez.

The facility was observed to be at a comfortable temperature, of 75 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 residents 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 01/09/2025. All six private residents’ bedrooms were observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading of 117.1 degrees F.

Medications observed to be locked in a cabinet in the common area. LPA reviewed medication records administered properly at the time of annual visit. Cleaning supplies were observed to be in a locked cabinet in the laundry room, some cleaning supplies secured under the kitchen sink as well. An outdoor seating area was observed operational for residents in care.