Facility Evaluation Report

Licensing Program Analyst (LPAs) Gary Tan and Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Jessica Pelaya and explained the reason for the visit.

At approximately 09:30am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. Currently there are ten (10) residents receiving hospice care and seventy (70) residents on the Assisted Living Waiver (ALW). The smoke alarms and carbon monoxide detectors are dual, hardwired and interconnected. The smoke detectors were last serviced 09/23/23. Facility also have a functional sprinkler system. There are fire extinguishers located throughout the facility hallways. The charge date for the fire extinguishers was 11/30/23. The Fire Inspection was last held on 07/25/23.

Kitchen: The kitchen is industrial. Appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored and locked.

Bedrooms: The facility has two floors. The first floor has fifty-two (52) shared bedrooms and the second floor has sixty-four (64) shared bedrooms. Random rooms were inspected and LPAs observed appropriate beddings and linens with sufficient lighting.

Bathrooms: Each resident unit on both floors have their own bathrooms. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was between 105-107 degrees Fahrenheit. No cleaning supplies observed stored in resident bathrooms.