Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct an Annual Inspection. LPA was granted entry by Staff Wilbert Aromin. Administrator Helen Houck and Administrator Claudia "Yvonne" Ramirez responded to assist with the visit.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 116.9 degrees F. Facility was set at 75 F. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching.

Fire extinguisher serviced on 05/14/2025. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Facility has a pull station fire alarm. Facility has sprinkler system. Last fire drill conducted 04/27/2025. All cleaning supplies are locked and secured in a cabinet in the garage.

LPA reviewed resident and staff records. Staff have current CPR/First Aid. Facility did not have a restricted health care plan for C2's restricted health care condition or a home health care plan. Facility did not have staff training for C2's restricted health condition.

An exit interview was conducted with Administrator Helen Houck and a copy of this report was provided with plans of correction and appeal rights.