Facility Evaluation Report

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Anthonilla Gomez and explained the reason for the visit. Administrator David E. Markie arrived shortly thereafter.

The home is licensed to serve 6 residents ages range 60 and over, six (6) non-ambulatory of which one (1) may be bedridden. Facility is approved to accept/retain four (4) hospice residents.

There was one (1) resident under hospice care at the time of the inspection.

Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present.

The facility is located in a residential area and is a one-story home consisting of five (5) resident bedrooms, two (2) bathrooms, living room, kitchen, dining area, attached garage, front yard, and backyard. LPA observed four (4) resident bedrooms as one was vacant, and all contained the required furniture (bed, mattress, linens, dresser, chair, and lighting). A caregiver corridor is also present and has its own entrance accessible through the backyard. Cleaning supplies and toxic substances are inaccessible to residents in locked cabinets in the garage as well as within other locked cupboards in the kitchen and restrooms.