Facility Evaluation Report

On 11/17/2025 at 09:45 am Licensing Program Analyst (LPA) Lorena Casillas met with administrator Aldrin Perez for an unannounced one (1) year Required visit for this facility. LPA was greeted and granted access by Administrator. LPA explained the reason for the visit and an entrance interview was conducted.

At 10:00 am LPA conducted a facility tour with the Administrator, and the following was observed. There are five (5) residents in the facility. Four (4) residents are non-ambulatory, none of which are in hospice care and one (1) resident is ambulatory. LPA observed all residents to be in their rooms watching TV or sleeping. Facility is cleared for six (6) non ambulatory residents of which three (3) can be bedridden and an approved hospice waiver for two (2) residents.

Infection control: The facility has an Infection Control Plan approved on 03/30/2021. Proper signage was observed inside along the hallway and in the restrooms.

Kitchen: LPA observed the kitchen to be clean and clear of clutter. All appliances were operative. Cleaning solutions are locked under the sink. Knives are kept locked in the garage and inaccessible to residents. LPA observed smoke alarms throughout the facility that are interconnected. At 10:20 a.m. all smoke alarms were tested and functioned properly. LPA observed one carbon monoxide detector, and it was tested and proved to be functioning.

Bedrooms: There are five (5) bedrooms designated for resident use. One (1) out of the five (5) rooms is shared. All resident rooms are furnished with required lighting, dresser, chair, bed, and linens.