Facility Evaluation Report

Licensing Program Analysts (LPAs) Antonia Alvizar-Ettima and Huma Rahimi conducted an unannounced annual inspection visit at this facility. LPAs met with staff Office Assistant and Office Assistant who called the Assistant Administrator and explained the reason for the visit. The Assistant Administrator arrived about thirty (30) minutes later and joined LPAs. LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today.

A tour of the physical plant was conducted at 10:10AM with Resident Care Coordinator/ Med-Tech and Assistant Administrator for compliance with safety, maintenance and operational requirements. The following was noted:

Facility is a single-story residence in a residential community. The facility has fifteen (15) bedrooms and nine (9) bathrooms in multiple interconnected residential type building. The facility is fire cleared for thirty (30) non-ambulatory residents, twenty-three (23) of which maybe bedridden in rooms 1 to 15. Hospice waiver for ten (10) residents.

Living and dining rooms furniture were checked. The living rooms were neat, clean and in proper order. The facility maintains a comfortable temperature at 74°F. The smoke/carbon monoxide detectors are duel hardwired interconnected and observed to be operational. Fire extinguishers are located all throughout the facility and last inspected on 12/30/25. The facility is equipped with sprinkler system. Fire inspection including alarms and full fire inspection was last done on 12/30/25. Passageways were observed to be clear from obstruction.