Facility Evaluation Report

On 11/19/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA was granted entry to the facility and facility staff contacted Administrator via telephone. LPA met with Assistant Administrator, Diana Diaz a short time later.

LPA reviewed client and staff files. Emergency disaster plan was reviewed. LPA reviewed client medications. Medications observed to be locked and inaccessible to clients in care.

Facility tour conducted with Assistant Administrator. All exits were open and free from obstructions. Common areas were furnished with adequate lighting. Facility kitchen toured and observed to be clean and safe for food preparation. LPA observed an adequate supply of food. Knives observed to be locked and inaccessible to clients in care. Fire extinguisher serviced on 05/23/2025.

Facility bathroom toured. Bathroom observed to be operational. Hot water measured at 114.4 degrees F. Resident bedrooms toured and observed to have required furnishings and adequate lighting. Cleaning supplies observed to be locked and inaccessible in a hallway closet. Smoke detector and carbon monoxide detector were operational during today's inspection.