Facility Evaluation Report

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual inspection using the Compliance and Regulatory Enforcement (CARE) Tool. Upon arrival, LPA was greeted by Maria Macalino and explained the purpose of the visit. Administrator Michelle Aguirre arrived shortly thereafter.

The facility is licensed to serve residents ages sixty (60) and older, with an approved capacity of six (6) residents, all of whom may be non-ambulatory. The facility is also approved to care for up to six (6) hospice residents. At the time of the inspection, six (6) resident were receiving hospice care.

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

The facility is located in a residential area and is a one-story home consisting of four (4) resident bedrooms, two (2) restrooms one of which is a private restroom along with a living room, kitchen, dining area, laundry room, garage, and front and backyard areas.LPA observed that all four (4) resident bedrooms contained the required furnishings, including a bed, mattress, linens, dresser, chair, and appropriate lighting. Cleaning supplies and toxic substances were inaccessible to residents and locked in hallway closet.Bathrooms were clean and equipped with the required grab bars in the showers and near the toilets, as well as non-skid mats. Hot water temperatures measured 107.6°F in bathroom (1) and 109.2°F in bathroom (2), which are within the required range of 105–120°F.