Facility Evaluation Report

At 9:45a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA met with Caregiver and explained the reason for the visit. Later, Assistant Administrator joined today’s visit.

At 10:15a.m., Caregiver and LPA conducted physical plant tour inside and out. During the tour, LPA observed that the facility is a home located in a residential community. The front main door is the only entrance being utilized at the facility, it has six (06) bedrooms and three (03) bathrooms designated for residents and two (02) staff bathroom. Six (06) private bedrooms and three (03) bedrooms designated for live – in staff, and two (02) bedrooms for Administrator’s son and daughter. Three 03) bedrooms designated for the staff is located on the second floor of the facility, which is only accessible by spiral staircase. Spiral staircase has a locked gate only accessible by the staff. Fire/Earthquake drill was last conducted on 03/01/2025. Required posting observed displayed in the facility hallway (complaint hot line poster, personal rights, etc). Temperature of facility wall thermostat is observed and set to 72 Fahrenheit. The fire alarm/CO system was tested and observed to be working, it is hard wired and interconnected. No obstructions and or tripping hazards throughout the facility.

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

Common Areas : These included the living room and dining area for residents. The common areas were properly furnished. Furniture in common area was observed to be in good repair. Residents dining table fits six (06) residents.