Facility Evaluation Report

On 6/30/26, Licensing Program Analyst (LPA) J. Leffall arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Administrator Beatriz Ponce, Licensee (L1) Anthony Barbato, and Regional Director (RD) Steven Cruz. LPA explained the purpose of the inspection and was granted entry into the facility by the Med Tech (MT) Barbara Martin.

A tour of the facility was conducted with A1. The residence was set at 72 F temperature and free of passageway obstructions inside and outside.

Kitchen toured, LPA observed 2 day supply of perishable food and 7 day supply of non-perishable food. Kitchen was clean and organized. Sharps and knives are kept locked in kitchen cabinet. Cleaning supplies were in a locked closet smoke detectors and carbon monoxide detectors were checked and operating. Water temperature measured within regulatory range.

Tel-Tec Security Systems conducts a Fire Alarm system inspection annually. Facility has a fire sprinkler system. Fire extinguishers last inspected 8/7/25 and pressure gauges are in the good range.

LPA with A1 inspected the backyard. LPA, observed that the backyard is well maintained, trees and grass in good condition. Patio furniture is clean and ready for use. LPA observed two locked sheds. Sheds store extra equipment, incontinence pads/diapers, emergency supply of water (4 five gallon water jugs). The exterior walkways are free from obstructions and debris. There are four patio tables with umbrellas and seating.

LPA met with med tech and conducted audit of pill count and MARS documentation. Records were up to date and in full compliance. Medication room is locked and med carts locked within that room. LPA observed medications are stored in medication room. Medication bins for each resident, labeled and organized. First aid kit was inspected and found to contain the required items.