Facility Evaluation Report

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Reinalyn Martin, Caregiver explained the reason for the visit. Silvia Castro, Administrator arrived shortly thereafter.

The facility is licensed to serve residents ages sixty (60) and older. The approved capacity is six (6) non-ambulatory residents and one (1) bedridden only. This facility may retain no more than two (2) hospice residents. There were two (2) residents under hospice care during inspection.

Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present.

The facility is located in a residential area and consists of a one-story home containing four (4) resident bedrooms, three (3) restrooms which one is private restroom, kitchen, dining/living room area, garage/laundry area, front yard, and backyard.

LPA observed four (4) resident bedrooms, all containing the required furnishings including beds, mattresses, linens, dressers, chairs, and adequate lighting. Cleaning supplies and toxic substances were observed locked and inaccessible to residents in the kitchen, garage, and under a bathroom sink. Bathrooms were clean and equipped with required grab bars near showers and toilets, as well as non-skid mats. Hot water measured within the required range of 105°F–120°F. Extra linens and towels were available in a hallway cabinet.

Smoke and carbon monoxide detectors were tested and observed to be functional. Several fire extinguishers were observed throughout the facility. No bodies of water were present on the premises. The backyard provided shaded seating for residents. Passageways and exits were observed to be clear and unobstructed. (continued on 809C)