Facility Evaluation Report

On 09/17/25, 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 staff Gey Ler. Staff contacted Administrator (AD) Claudia Yvonne Ramirez and she arrived shortly after. LPA toured the facility with AD. LPA observed one resident in the living room watching TV. Staff stated that the other residents were at day program and/or at doctor appointments.

The facility was observed to be at a temperature of 78 degrees F, clean, in good repair, and no passageway obstructions were observed. The living room has sufficient seating for residents. Living room has a fireplace with a cover. 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. Chemicals were observed locked in a kitchen cabinet.

All bedrooms were toured and observed to have the required furniture and adequate lighting. Bathrooms were observed operational. The hallway restroom hot water measured at 108.7 degrees F and the hot water in the restroom to bedroom number one measured at 110.5 degrees F. Extra linens and towels were observed stored in a hall closet.

LPA toured the garage. The facility has a dryer and washer in the garage and detergent locked in a cabinet. The facility has an additional freezer in the garage with an additional food supply. Outside of the facility toured and observed to be free of debris with adequate seating available for residents under a gazebo.

The carbon monoxide/smoke detectors were observed operational during inspection. Medications observed kept locked in facility office. Medications were reviewed along with MARS and observed to be administered as prescribed. A first aid kit is also stored in the office. All resident files and a sample of staff files were reviewed and observed to have required documentation.