Facility Evaluation Report

On 05/30/2025 Licensing Program Analyst (LPA) Evelin Rios conducted an Annual Required visit and inspection of the facility. The inspection tool was used for todays visit. LPA arrived to the facility and was greeted by staff #1 (S1) who granted access. LPA met the administrator shortly after and explained the reason for the visit. LPA conducted a physical plant tour at 1:17 p.m., and LPA observed the following: At entry LPA observed appropriate postings on the wall near the front door and the hallway leading to residents' bedrooms.

Kitchen: In the kitchen LPA observed the kitchen to be clean and clear of clutter. Appliances and fixtures were functional. LPA also observed a 7 day supply of non-perishable amount of food and a 2 day supply amount of perishable food in the facility. LPA observed a second staff, staff#2 (S2) in the facility. LPA observed cleaning products locked in a cabinet under the kitchen sink.

Bedrooms: LPA observed a total of five (5) bedrooms designated for residents' use. One (01) bedroom may be shared. Resident bedrooms were observed clean and clear of clutter, properly furnished with appropriate beds, night stands and chairs. Doors in bedrooms leading to the outside had auditory alarms that were observed functional. LPA observed night-lights through out the facility.

Bathrooms: There are three (03) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. From 1:32 p.m. to 1:35 p.m. LPA took the hot water temperature from two (02) out of three (03) bathrooms and they measured between 114.6 and 118.1 degrees Fahrenheit, within regulation.