Facility Evaluation Report

On 11/14/2025 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon entry, LPA was asked to sign in and had their temperature taken by staff. LPA was greeted by the Administrator Merlita Nepomuceno. LPA Rios explained the purpose of the visit.

At 9:00 a.m., LPA and Administrator conducted a physical plant tour of the facility, both inside and outside. The following observations were made:

LPA observed required postings were displayed on the walls leading to the common areas. A closet by the entrance was observed containing emergency food and water, a fully stocked first aid kit, flashlights, and an overflow supply of pantry food.

The attached garage is through a staff room that is maintained locked . Inside the attached garage, LPA observed a washer and dryer, a locked cabinet containing cleaning products and chemicals, and a deep freezer with an overflow supply of food.

In the kitchen , LPA observed the appliances and fixtures were in good working condition. LPA observed a sufficient supply of two days perishable food and seven days non-perishable food. Cookware, cutlery, and dishware were observed to be in good repair. Residents' medications were observed locked in a kitchen cabinet. On a kitchen wall LPA observed a fire extinguisher, fully charged with purchased date 09/01/2025. A carbon monoxide detector located by the kitchen was tested by staff and was observed operational.