Facility Evaluation Report

On 11/05/2025 at 11:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Great Place Home Care Facility. LPA Calderon was allowed entry into the facility by Administrator Coty Cabra. The Facility is licensed to serve residents age range 60 and over, six Non- ambulatory residents of which, one may be bedridden and approved hospice waiver for two residents. Currently, there are six (6) residents residing in the facility.

LPA Calderon explained to Administrator Coty Cabra the purpose of the one year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records (MAR), two (2) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 11 /03/2025 . The one story residential home consists of five (5) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored or found on the premise grounds. The kitchen was inspected and observed to be clean and operational. A two day supply perishable and seven day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage area.