Facility Evaluation Report

On 08/13/24, at 9:20am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. Upon arrival, LPA met with Caregiver, Ernesto Dizon. Jenneth Aguilar the administrator was called and later arrived.

LPA asked for the census, resident, and staff files.

The facility has been licensed as a Residential Care Facility for the Elderly. The physical plant was toured inside and outside at 10:25 am.

Kitchen area was sufficiently stocked with seven (7) days of perishable and seven (7) days of non-perishable food. There is one (1) refrigerator in the kitchen area. The cabinets have canned goods. Sharps are kept secured and locked in one(1) of the cabinets on your right-hand side of the kitchen. The medication cart is kept in the kitchen area locked and secured. There is one (1) washer and dryer kept in the kitchen area. The fire extinguisher was observed to be full and dated February 20, 2024.

Living/Dining Room: LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean and in good repair. The dining room area has six (6) seats for residents and a television. The living room area has proper seating and a television. The facility temperature is at 75 degrees Fahrenheit. There is a fireplace that is covered.

No firearms observed or will be maintained on the premises. The smoke alarm and carbon monoxide detector were tested and operational. The facility has a current telephone landline and internet access.