Facility Evaluation Report

On 03/17/2026 Licensing Program Analyst (LPA) Lorena Casillas conducted an announced annual visit to this facility. LPA arrived at 9:30 am, however, there was no one at the facility. LPA called and spoke to Administrator Fernando DeGuzman who stated that they were on their way to the facility. Administrator arrived shortly after. LPA spoke to Administrator and explained the reason for the visit. Entrance interview conducted.

Infection Control and Emergency Preparedness Plan: LPA reviewed facility Infection Control Plan and Emergency Preparedness Plan to make sure protocols are being reviewed and/or updated. Plans were discussed and updated.

At 11:30 am LPA began the facility tour with the Administrator and the following was observed. The facility has no residents currently living in the home therefore the tool kit was not used during this visit. The facility has a fire clearance for five (5) non-ambulatory residents and one (1) bedridden resident. The facility has six (6) approved hospice waivers.

Common Areas: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 71°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational.

Bedrooms: There are three (3) bedrooms for resident use, which contain beds, a mattress on each bed, linens, nightstand, lamp, chair, chest of drawers, and a closet. All window screens were in good repair.