Facility Evaluation Report

On 10/15/25, at 7:45am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit. LPA conducted a physical tour and observed the following:

One (1) Electrical plug against the wall was missing in the area where the residents watch television.

In one (1) of the resident rooms there was a huge hole that needs repair where the back of the door when it is open has created a hole against the wall-Room 140

Upon observations of the kitchen/dining room area LPA observed two (2) caregivers giving/passing out food. LPA asked to see their file for sanitation-passing out of food and both caregivers did not have food sanitation training. In the absence of staff, staff providing the services shall be qualified under that duty.

Upon speaking to some residents and conducting a physical tour, some resident did not have basic cable which is under their admission agreement where basic cable free. Residents stated it's been since 09/22/25 that the basic cable has been disconnected. LPA spoke to staff #1 (S1) and S1 stated, "it has been in process for a couple of weeks now to get resident's their cable back."

Four (4) citations are being issued for four (4) observations during the physical tour. An exit interview was conducted, four (4) citation(s) were issued, and a copy of this report was given to the administrator with appeal rights provided.