Facility Evaluation Report

On 05/02/2026 at 8:33am, the Department conducted an unannounced required – annual inspection to the above facility. At 8:37am, the Department met with Licensee/Administrator Richard Delarosa and explained the purpose of the visit. The facility is licensed to serve a total of six (6) adults ages 55 and above, of which five (5) may be non-ambulatory and one (1) may be bedridden. A total of five (5) residents are currently residing in the facility. Of the five (5) residents: all 5 have dementia, (1) hospice resident, (0) bedridden, (0) receiving oxygen, and (0) home health.

The facility annual fees are paid in full as of 05/02/2026. The facility has a current administrator certificate for Richard Delarosa #7012053740 valid from 06/06/2024 - 06/05/2026. The facility has liability insurance with Primary Care Insurance, a Risk Retention Group, Inc effective 06/29/2025 with policy aggregate at $3,000,000 & general liability at $1,000,000.

The facility is a one-story home located on a residential street. The home consists of six (6) resident bedrooms, (2) full bathrooms, one (1) toilet room,receptionist area, one (1) staff bedroom, a laundry room, one (1) combined living/dining/kitchen/TV room area, and an outside patio area with shaded seating.

On 05/02/2026, between the hours 10:50am - 11:05am, the Department toured the resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. The water temperature measured at 109.9°F (in bathroom #1), 119.7°F (in bathroom #2) and 119.1°F (bathroom #3). Resident bath towels, toiletries, and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards doorways were free of obstructions.