Facility Evaluation Report

On March 7, 2026 Licensing Program Analysts (LPA) B. Miranda conducted an unannounced visit today for the facility’s annual inspection. LPA introduced themselves and was allowed entrance into the facility. LPA met with Administrator Nelia Barcelona.

Facility is licensed for 6 residents and has a current census of 4. There is 1 resident on hospice and 2 with a health care plans. Water temperature was checked in the kitchen which read at 135.1 degrees Fahrenheit and the common bathroom which read at 131.9 degrees Fahrenheit. Fire Extinguisher was serviced September 3, 2025 and is within the safety regulation period. Smoke and carbon monoxide detectors were tested. Carbon monoxide detector is in working ordered. One out of four of the smoke detectors are working properly. Emergency exits are clear and free from obstruction. In the garage LPA observed laundry detergent, cans of paint, drill, and box cutter to be accessible to the residents.

LPA observed medication in cabinets which were not locked and accessible to resident in care. Medication refills were observed on a shelf to the left of the refrigerator, which were not locked and accessible to residents in care. LPA observed knives and sharps to be under the kitchen sink with key left in the lock which makes the knives accessible to residents in care. While touring the facility staff locked the cabinet under the sink, but left the key in the lock. LPA observed the sink having debris and cleaning sponge.

Nelia’s Administrator's Certification expires January 24, 2027. Staff files were reviewed, are complete, and current. Resident files were reviewed, complete, and current. Facility provided a log for disaster drills that are conducted quarterly. First aid kit on site. LPA observed some toxins and cleaning supplies to be in an unlocked cabinet in the laundry room.