Facility Evaluation Report

On 05/04/26, at 9:10am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. LPA met with Sean Abalajon, Assistant Administrator.

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

The facility is a two (2) story home that has a total of nine (09) bedrooms and five (05) bathrooms. Fire Clearance is approved for four (04) ambulatory, one (1) non-ambulatory and one (1) bedridden and the facility has a hospice waiver for six (06) residents. There is an upstairs that is not part of the facility which has two (2) bedrooms and one (1) bathroom. There is an ADU-Accessory Dwelling Unit that is part of the facility sketch.

Kitchen is sufficiently stocked with at least seven (07) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. There are two (2) refrigerators in the kitchen. Kitchen cabinets contain extra food. Knives and sharps are observed to be locked and inaccessible to residents on your left side of one (1) of the cabinets. The medication is kept in the kitchen area locked and inaccessible to the residents also on your left hand side of one (1) of the cabinets. The toxins/chemicals are kept under the sink. There is one (1) washer and dryer located in the kitchen area.