Facility Evaluation Report

On 05/01/2025 at 10:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Montoak One Facility. LPA Calderon was allowed entry into the facility by Administrator Najma Shaheen. The licensee has a license to serve (6) elderly residents ages 59 and older. Currently, there are (6) residents residing in the facility age 59 or older.

LPA Calderon explained to Administrator Najma Shaheen, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records, three (3) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 04/10/2025 . The one-story residential home consists of five (5) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the kitchen area.