Facility Evaluation Report

On 8/25/2021 at 9:30 a.m. Licensing Program Analysts (LPAs) Nina Galarza and Nune Margaryan arrived at the facility to conduct an unannounced annual visit. LPAs met with Roel Franco and later met with administrator, Euphrosyne Dimaano and discussed the purpose of the visit. LPAs observed COVID informational and symptom signs in the front of the facility and through out the facility. LPAs were screened for COVID symptoms and temperature check at arrival.

This facility is located in a residential neighborhood, single story house with an attached two car garage with a iron door for access to the entrance, and contains (5) bedroom(s), (2) bathrooms, living room, dining room, office area, kitchen, . Bedroom #1 is designated as private for non-ambulatory resident, Bedroom #2 is designated as private for non-ambulatory resident, Bedroom #3 is designated as semi private for non-ambulatory/bedridden resident, Bedroom #4 is designated as private for non-ambulatory resident, Bedroom #5 is designated as private for non-ambulatory resident. All bedrooms contain the required furniture, lighting and storage space, continence supplies in the closets, free of obstructions or hazards and was observed to be clean and sanitary throughout the residence. Beds have the required linen; pillowcase, sheets, mattress pad/cover, blanket and bedspreads. Adequate supply of linen stored in hall cabinet with additional continence supplies, towels and blankets.

Medications were located in the hallway storage closet locked and inaccessible to the residents.

There are (4) emergency exits with delayed egress on the front door, door leading to the back yard and door in bedroom #3 and bedroom #5. There are no locks or bars included on the windows. The outdoor fence does not have any locking mechanism.

The front yard contains a driveway to the two garage, an iron door that leads to the front entrance. The sliding glass door, with a ramp to access the backyard contains a large covered patio with a shaded area with accessible seating available for resident use with a table and chairs. Outdoor grounds contained an emergency exit at the gates on each side of the house which does not contain any locks. The yard contains plants and succulents accessible to residents to participate in gardening activities. There were no bodies of water or firearms on the premise.