Facility Evaluation Report

On September 25, 2024, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced required annual visit using the CARE Inspection Tools. LPAs met with Kian Pascual, On call administrator and explained the purpose of this visit. The facility is licensed to operate for (6) non-ambulatory and 1 may be bedridden elderly residents ages 60 and above. The facility is approved for (6) hospice residents. There are currently 6 residents in care.

Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: ( 6) residents' rooms, ( 2 ) bathrooms, (1) staff room, a living area, a dining area, a kitchen, an outside seating area and an attached garage.

Physical Plant LPA and Kian Pascual 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. LPA observed that facility had required postings: ombudsman poster, see something say something poster, emergency numbers, clients rights, employee Federal/State wage information, facility sketch,