Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced annual visit at the facility using the CARE tool. LPA was greeted by DSP Juana Reyes and Amanda Palomino, Administrator, arrived a few minutes later. LPA explained the reason for the visit.

The facility is licensed for residents ages 60 and over and approved for 5 non-ambulatory and 1 bedridden. The facility is a one-story home located in a residential area and has 3 bedrooms, 3 bathrooms, a living room, kitchen, dining room, family room, laundry area, and an attached garage.

LPA Lopez conducted a tour with the Administrator and observed the following:

The facility is clean and mostly in good repair inside and outside. The living room has a cover fireplace. The kitchen is clean, and knives and cleaning supplies are kept in lock cabinets. Refrigerator and freezer were observed at 40 degrees and 0 degrees which are within the recommended temperatures. Sufficient food was observed for at least 2 days of perishables and 7 days of non-perishables. The dining room has sufficient seating space. The Kitchen faucet and cabinet under the stove need minor repair. Administrator called their handy man Pablo, and he will be coming today to address the repairs. Each bedroom has the required furniture, bedding, and sufficient lighting. 3 bathrooms were observed in working condition with grab bars and skid mats. Water temperature was tested in each, and tested between 113.7 -114.4 degrees F., which is within the required 105.0-120.0 degrees F. Smoke/Carbon Monoxide detectors were observed and tested throughout the facility. A pool was observed with a 5ft fence around it, and a shaded seating area was observed in the backyard. Fire extinguisher was last checked on 07/11/2025. The facility conducted an evacuation drill on 6/1/25. Emergency food supplies and water were observed. Emergency disaster plan was posted at facility and updated.

LPA reviewed medication and files for four (4) residents and reviewed four (4) staff files. LPA conducted interviews with three (3) staff and Four (4) residents. Administrator certificate was observed for Amanda Palomino #60312667440 and expired on 6/15/26.

No deficiencies were noted during this visit per Title 22 Regulations.

An exit interview was conducted with the administrator and a copy of this report was provided.