Facility Evaluation Report

On 11/26/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA arrived, introduced self, stated purpose of visit and allowed entrance to facility by caregiver. Administrator Assistant, Socorro Telmo contacted by telephone and arrived a short time later to conduct inspection.

Facility tour conducted with Administrator Assistant and began in resident bedrooms. Facility is a 5 bedroom, 3 bathroom home. There are 2 shared bedrooms and 2 private bedrooms. All bedrooms observed to well lit and have required furnishings. Resident bathrooms toured, fixtures observed to be operational and bathrooms observed to be equipped with grab bars near toilet and in shower area. Facility also has shower chairs and skid-resistant mats available. Water temperature measured at 111 degrees F. All common areas observed to have adequate seating for residents in care. Kitchen toured, all sharps observed to be locked and secured in kitchen drawer. All knobs on stove have security cover. Facility has a 2-day supply of perishable foods and a 7-day supply of non-perishable food available. All food items observed to be properly stored and dated. Medication observed to be locked and secured in hallway cabinet.

Fire extinguisher present with a purchase date of 8/03/2025. Smoke detectors and carbon monoxide detectors present and observed operational during inspection. Last fire drill conducted 10/28/2025 according to facility records. LPA reviewed resident files, staff files, and plan of operation.

Outside of facility toured. All exits open free of obstruction. Pool is surrounded by locked fence and is inaccessible to residents.

Exit interview conducted and a copy of report provided for facility records.