Facility Evaluation Report

On March 26, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with licensee Shirley Danting and explained the purpose of today’s visit. The facility is licensed for (6) non-ambulatory elderly residents ages 60 and above and is approved for (4) hospice residents.

The facility is a single-story structure located in a residential neighborhood. It consists of (5) residents' rooms, (2) shared bathrooms, a living area, a dining area, a kitchen, and an outside covered patio area.

LPA and licensee toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition; adequate lighting and storage for the residents' personal belongings were observed. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational—the water temperature measured 120.0 F. A comfortable temperature of 72 degrees was maintained in the facility.

LPA observed the facility to be sanitary and appropriately furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and inaccessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was appropriately maintained. The facility has (1) a fire extinguisher that was charged, smoke detectors, and carbon monoxide alarms. LPA reviewed Medication Administration Records (MAR), revealed accurate and maintained in order. The facility conducted a Fire/Safety Drill on 01/10/25. A working landline telephone remains available.