Facility Evaluation Report

On 10/10/25, Licensing Program Analyst (LPA) J. Duarte arrived unannounced to conduct the required Annual inspection. LPA introduced self, stated the purpose of the visit, and met with Direct Care Staff (DCS) Kevin Clemeno and Merlinda Lauffenburger. Staff contacted Administrator (AD) Susan Baal and stated AD will be reporting to the facility to assist with this inspection. AD Susan arrived shortly after with AD Ulysis Baal. LPA toured the facility with DCS Kevin and AD Ulysis.

The facility was observed to be at a temperature of 76 degrees F, in good repair, and no passageway obstructions were observed. The living room has adequate seating for residents. The kitchen was toured and LPA observed an adequate supply of perishable and non-perishable food. The facility stores kitchen knives in a locked kitchen cabinet. Medication is also stored in a locked kitchen cabinet. A fire extinguisher was observed in the kitchen, with a service date of 06/05/25.

Resident bedrooms were toured and observed to have beds, dressers, chairs, and adequate lighting. Bathrooms were observed operational, with non-skid mats and grabbed bars. The restrooms hot water measured between 118.6 and 119.5 degrees F.

The facility has a laundry room, with a washer and dryer. The facility does their own laundry. The garage was toured and LPA observed detergent, chemicals, and hygiene products locked in a cabinet. The facility has a freezer in the garage with an additional supply of frozen food.

Outside of the facility toured and observed to be free of debris. The gate on the side was observed to be self closing. The backyard patio provides shaded seating for residents.

The carbon monoxide/smoke detectors were observed operational during inspection. A first aid kit is stored in the kitchen. All resident files and a sample of staff files were reviewed and observed to have required documentation.