Facility Evaluation Report

On 02/23/2026 at 10:05 a.m., Licensing Program Analyst (LPA) Evelin Rios arrived to the above mention facility to conduct an unannounced annual inspection. LPA met with the administrator designee Alexis Rosales and shortly after met with Administrator Shawn Lakhanpal. LPA stated the purpose of the visit. This is a Residential Care Facility for the Elderly (RCFE) with an approved fire clearance for five (5) non-ambulatory residents and one (1) bedridden resident for a total capacity of six (6).

LPA initiated a physical plant tour at approximately 10:15 a.m., and the following was observed:

At entry LPA observed a table with a sign in sheet for guest and visitors. The facility has a small office space where they store personnel records and facility records in a locked filing cabinet.

Kitchen: The kitchen was clean an clear of clutter. LPA observed an adequate two (2) day perishable and seven (7) day non perishable supply of food. LPA observed medication and resident records locked in cabinets by the kitchen. In the medication cabinet LPA observed a fully stocked first aid kit with manual. Knives were observed locked in kitchen drawer. Cleaning products under the sink cabinet were locked an inaccessible to residents. The facility has a fully charged fire extinguisher.

Bedrooms: There are four (4) bedrooms designated for resident use. Two (2) bedrooms are for private use and two (2) bedrooms are shared. Exit doors had audible alarms that were on and functioning properly. Resident bedrooms were adequately furnished. All rooms had sufficient lighting. (Continued on 809-C)