Facility Evaluation Report

On 3/14/25 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA contacted Licensee, Steven Loop. stated it was okay to complete visit with Administrator, Joseph Rafanan and Designee, Alicia Rafanan . LPA introduced self, explained reason for visit and was permitted entry into the facility. Licensee, Steven arrived some time later.

LPA toured the facility inside and out. Residents were attending day program during visit. Pathways and doorways were clear and free from obstruction. Facility observed to be clean and without odor. Common areas were clean and adequately furnished. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 9/11/24. Last fire drill on 1/10/2025. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. Medications observed in a locked cabinet off kitchen. LPA observed sufficient seating under covered patio areas.

The following issues were observed during todays visit: Bathroom #2 shower tiles broken in need of repair or replacement. Caulking around shower in bathroom #1 in need of replacement. Toilet seat in bathroom #1 in need of cleaning or replacement. Light in bathroom #1 missing cover and in need of drywall repair. Reclining chair in living room observed torn and in need of repair or disposal. Side walkway observed with moss in need of cleaning. Wall in garage (at dryer vent cover) in need repair. Wall in dining area in need of drywall repair. Facility does not have a facility device to access the internet. Facility has plan in place but not have all required items. Deficiencies and TV's provided per Title 22.