Facility Evaluation Report

On 12/11/2024 at 9:30 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility mentioned above to conduct a Required Annual Inspection. LPA was greeted by Staff #1 (S1) who granted access. S1 called the Administrator Merlina Ebreo to inform them LPA was at the facility. Merlina met LPA shortly after. LPA explained the reason for the visit. The inspection tool was used to complete the visit. Upon entry LPA observed appropriate postings on the facility walls.

At 9:36 a.m. LPA began a physical plant tour of the facility and the following was observed:

Dining / Living Area: The dining and living area were well lit, clean and clear of clutter. Furniture appeared clean and in good repair. A fireplace located in the living area was secured with a glass screen. LPA observed the thermostat at a comfortable temperature of 73°F.

Bedrooms: There are four (4) bedrooms designated for resident use. Two (2) out of the four (4) rooms are currently vacant. All resident rooms are furnished with required lighting, dresser, chair, bed, and linens. There are extra linens in a hallway closet.

Bathrooms : There are two (2) bathrooms designated for resident use. One (1) bathroom is located in a resident's bedroom for private use. The main bathroom is accessible to all the residents. Bathrooms were well lit, clean, had grab bars, nonskid mats and trash bins with lids. LPA observed a sufficient supply of hand soup, paper towels and toilet paper. At approximately 11:10 a.m. hot water temperature was taken measured at between 118 to 120°F, within regulation.

Laundry Room/Garage: Laundry room is kept locked. LPA observed a washer and dryer that appeared operative. Detergents are kept in a cabinet above the washer and dryer. The garage is through the laundry room. The garage has extra water and a deep freezer for the facility. (Continue to LIC809-C)