Facility Evaluation Report

On 08/07/2025 at around 1:00 PM, Licensing Program Analyst (LPA) Jose Anguiano conducted an announced Required 1 Year Inspection to the above-named facility and met with Licensee/Administrator Sharina Hymes. LPA explained the purpose of the visit and was accompanied inside and outside the facility during this inspection. The facility is licensed age range 60 and over. Hospice waiver approved for 4. A total of 0 residents are currently residing in this facility. A total of 0 staff are currently in the facility.

The facility is a one-story house located in a residential street. The home consists of 2 resident bedrooms, 1 bathroom, 1 living room, 1 kitchen, 1 detached garage, and 1 backyard patio area with shaded seating.

Outside grounds were toured and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. Walkways around the home were clear of hazards.

LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week for a minimum of two days. Documents are posted as mandated. The first aid kit is fully stocked. Smoke and carbon monoxide detectors complied and operational.

2 out of 2 residents’ bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries are accessible to residents. LPA tested hot water temperature, and it measured 120 degrees Fahrenheit.

Please see LIC809-C for report continuation.