Facility Evaluation Report

On 4/7/25, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced required annual visit using the full CAREs Inspection Tool. LPA met with the Administrator, Susie Fuentes and explained the purpose of today’s visit. The facility is licensed to serve elderly developmentally disabled adults ages 60 and above. Currently they are (83) residents living in the facility.

LPA reviewed five (5) staff files, and five (5) resident’s files and MARs were maintained and in order. During file review, LPA reviewed Liability insurance documents and Surety Bond.

LPA Shirley and Susie toured the facility. The facility is a two-story structure located in a commercial neighborhood. The facility consists of (54) resident bedrooms which includes a bathroom in each unit. There is an activity room, upstairs TV room, dining room, kitchen and administrative offices. Facility maintains all required posting throughout the facility.

LPA Shirley inspected 10 bedrooms. Bedrooms 4, 5, 6, 7, 8, 15, 17, 18, 19, and 43. Beds and bedding supplies were in good condition. LPA observed ample lighting in all the unites. All call buttons were operational and received response back from the front desk. Bathrooms were found to be within Title 22 regulations and were operational.

First aid kit is fully stocked with manual. No firearms are stored at this facility.

LPA Shirley and Susie walked through all common areas and there is ample seating and space for all residents. All sharps were locked in a container located in the medication room. All rooms and walkways were clean, and clear of obstructions and hazards. All areas have ample lighting. There is a charged fire extinguisher in the kitchen. There are no bodies of water present.