Facility Evaluation Report

At 8:45a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA met with caregivers that granted entry to the facility and explained the reason for the visit. Caregiver, Talado contacted Administrator via-phone and later Administrator joined today’s visit.

At about 9:10a.m., LPA and Administrator conducted a physical plant tour inside and out. During the tour, LPA observed that the facility is a home located in a residential community. Required postings were observed in the dining area. The facility has fire sprinklers throughout the home and fire extinguishers were observed. Fire extinguisher had a purchased receipt date of 05/03/2025.

The smoke/carbon monoxide detectors are hardwired, interconnected and observed to be operational. They are located throughout the facility including hallway and bedrooms. Fire Emergency drill was last conducted on 04/14/2025. During this visit the facility is at 74 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory of which two (02) may be bedridden and a hospice waiver for three (03). The facility is currently occupying four (04) residents.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Kitchen: LPA observed kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found at least two (02) days perishable and seven (07)