Facility Evaluation Report

On 9/23/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA arrived, introduced self, and allowed entrance by caregiver. Rosalie Adelante contacted by telephone and arrived a short time later to conduct inspection visit with LPA.

Currently, six (6) residents in care. The facility is a 4 bedroom, 2 bathroom home. Facility toured with Administrator, facility observed to be clean, well lit, odor free, and odor free. There are 2 shared bedrooms and two private bedrooms. All resident bedrooms observed to have required accommodations. All common areas of the facility have sufficient lighting and seating for all residents in care. Residents bathrooms observed to be clean and in good repair. Shower has skid resistant mats, shower chair, and grab bars. Hot water measured at 112 degrees F. Tour of kitchen conducted. LPA observed a 2-day supply of perishable and a 7-day supply of non-perishable food available for the residents in care. Medications observed to be locked in small 2 drawer filing cabinets in dining room area. All medications observed to have original labels and observed to be administered as prescribed.

Carbon monoxide detector and smoke detectors tested and observed operational at time of inspection. Fire extinguisher has a date of service of 5/15/2025. Last fire drill conducted on 6/02/2025 according to facility records.

Outside areas toured. All exits open freely and observed to be free of obstruction. Facility has seating and shaded area available for residents. Pool observed to be surrounded by a locked fence and inaccessible to residents in care. No hazards observed.

Resident and staff files reviewed. LPA received copies of Administrator certificate, liability insurance and resident roster during inspection visit.

No deficiencies cited. Exit interview conducted, and copy of report provided for facility records.