Facility Evaluation Report

On 12/22/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Inspection to facility. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by Caregiver. Licensee/Administrator, Amabelle Bernales contacted by telephone and arrived a short time later to conduct facility inspection with LPA.

Currently, there are 2 residents in care. One resident 1 (R1) was a day program and Resident 2 (R2) was at work at time of inspection.

Facility tour conducted. Facility observed to be a comfortable temperature. Resident bedrooms toured, all bedrooms observed to have required furnishings available. Resident bathroom in hallway toured, water temperature measured at 117 degrees F. Shower/tub observed to have a skid resistant mat and shower chair available. LPA observed the drain in shower/tub to not be draining properly, water is slow to drain and toilet handle observed to stick when flushed, must manually lift to stop water flow. Both toilet and sink in hallway bathroom observed to need cleaning. All common areas of facility have adequate seating available for residents. Kitchen toured, LPA observed facility to have a 7-day supply of non-perishable food and a 2-day supply of perishable food available. LPA observed both sharps and knives to be locked and secured in kitchen cabinet. All cleaning supplies were locked under sink as well as in laundry room.

Medication observed to be locked and secured in kitchen cabinet. Medication observed to have original labels and to be administered as prescribed.

Fire extinguisher present with a service date of 10/10/25. Carbon monoxide and smoke detectors observed operational during inspection. Last fire drill conduced 10/05/2025 according to facility records. First Aid kit and manual present in medication cabinet.