Facility Evaluation Report

On 8/12/2025, Licensing Program Analysts (LPAs) J. Duarte and M. Melinda arrived unannounced to conduct an Annual inspection. LPA J. Duarte explained reason for inspection and was granted entry. LPAs met with Administrator (AD) Nora Rodriguez Lopez and a tour was conducted together. LPA Medina did file reviews for residents and staff which are documented on a separate report.

When LPAs arrived, some residents were observed outside the facility with staff waiting to be transported to day program. LPAs toured the front desk reception area with AD Lopez. AD advised that the units have call buttons and a staff member is at the front station 24/7.

LPAs toured a sample of seven apartment units. All residents were away from the units toured, except for one resident. The facility has seven buildings. Each building observed to have an evacuation chair. Each building was observed to be at a comfortable temperature, clean, in good repair, with no passageway obstructions or fire hazards. LPAs observed a seven-day supply of non-perishable foods and a two-day supply of perishable foods in apartment units. Fire extinguishers were observed in each apartment with a service date of 10/14/24. All common areas were properly furnished and well-lit throughout. Medications, First Aid, and Sharp items are locked in each apartment in the kitchen cabinets. Smoke Alarms and Carbon Monoxide detectors in the seven units were tested and operational at time of inspection.

Medication, the Centrally Stored Medication Log, and MARs were reviewed for eight residents and LPAs observed complete Centrally Stored Logs for residents.

The hot water for the restrooms in the apartment units measured between 108 and 116.2 degrees F. The restrooms were equipped with grab bars next to the toilets and the showers, showers had skid resistant mats and shower chairs available, paper towels, and trash bins with lids.