Facility Evaluation Report

On 5/31/2025, , Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA introduced self, stated purpose of visit, and allowed entrance by Supervisor, Brittaney Donohoe. Administrator, Ronald Duran contacted by telephone and arrived a short time later to continue with inspection visit.

Facility currently has four (4) residents in placement. All residents were present at time inspection began, residents observed to be engaged in activity with staff at dining room table. The remaining 3 residents were observed to be relaxing in their bedrooms. LPA conducted facility tour with Supervisor, Brittaney Donohoe. LPA observed facility to be clean, odor free, and a comfortable temperature. All resident bedrooms are private. All bedrooms observed to have required furnishings. Bathrooms toured, and observed to have skid resistant mats available. Water temperature measured at 109 degrees F. All common areas observed to have adequate seating for all residents. Kitchen toured, LPA observed a 2-day supply of perishable and 7-day supply of non-perishable food available for residents. All sharps are locked and secured in the bottom drawer in the kitchen. Medication reviewed, all medication observed to have original labels and to be administered as prescribed by physician. Centrally stored medication logs and MARS reviewed. Medications observed to be locked and secured in the medication cabinet.

Facility is equipped with 2 fire pull stations. Last fire drill conducted on 3/20/2025. Smoke detectors and carbon monoxide detectors observed operational during inspection. First Aid kit observed to have all required items.

Outside of facility toured. Exits open free of obstructions. No hazards observed. All chemicals observed to be locked and stored in garage and inaccessible to residents.

No deficiencies observed during inspection.