Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced annual required visit and inspection of the facility. LPA met with Jorge Adle Mendoza - Administrator and explained the reason for the visit. The facility is licensed to serve six (6) residents ages 60 and above, of whom (6) may be non-ambulatory. Facility has an approved waiver for two (2) hospice residents.

At 10:15am, with the assistance of Administrator, LPA took a tour of the physical plant and observed the following.

Required postings were observed in the entry area. The smoke/carbon monoxide detectors are hardwired and interconnected. At 11:05 am smoke alarms/carbon monoxide detectors were tested and observed to be functional. The fire extinguisher is located in the kitchen and was purchased on 3/1/2026. The auditory alarms on all exit doors were functional at the time of the visit.

Kitchen: Appliances consisted of stove, dishwasher and microwave. LPA found a sufficient supply of perishable (2 days) and non-perishable (7 days) foods at the facility. Knives were stored in a locked drawer in the kitchen. Chemicals and detergents were stored in a locked cabinet underneath the sink. LPA observed an exit door in the kitchen, leading to the front.

Common Areas : The family room and the office are located by the entry. There is a living room and dining a room, furnished with tables, chairs and a television set. There is a double sided fireplace in the family and living rooms; both fireplaces were properly covered by a glass cover. LPA observed a karaoke machine and entertainment area in the living room. Facility offers a land-line telephone, cable and internet access for resident's use.