Facility Evaluation Report

On December 5, 2024, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced required annual visit using the CARE Inspection Tools. LPAs met with staff Alvin Geniza and explained the purpose of this visit. Rodrigo Rosaldo subsequently arrived to assist with visit. The facility is license to serve (6) elderly residents ages 59 and older. The fire clearance is approved for (5) non-ambulatory and (1) bedridden resident in room #4. Approved Hospice waiver for (6). Currently there are 4 residents over the age of 60.

Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: (5) residents' rooms, (2) bathrooms, (1) staff room (1) staff bathroom, a living area, a dining area, a kitchen, an outside seating area and a garage Back Yard, Ramps and Outside table with shade.

Physical Plant LPA and Staff Alvin Geniza toured the facility inside and outside. LPA observed There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available. Bathrooms were operational with water temperature measured at 111.2 F. A comfortable temperature of 75 degrees F. was maintained in the facility.