Facility Evaluation Report

On 12/08/25 at 09:35 AM, Licensing Program Analyst (LPA) Gina Saucedo arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA met with caregiver Larisa Bobakova and disclosed the purpose of the visit.

LPA asked for the census, resident, and staff rosters.

A physical tour was conducted at 10:30 AM and observed the following:

The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. There are two (2) fire extinguishers. One (1) is located against the wall on your left-hand side of the facility. It is fully charged with an expiration date of 03/2026. There is extra, food in the kitchen pantries. The first aid kit is on the kitchen counter area on the left-side of the sink. The knives are at the top of the kitchen counter on your right-side in a locked black box and inaccessible to the residents.

The medications are locked and inaccessible to the residents in one of the top, black cabinets on your left-hand side at the entrance of the facility.

Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. The facility does have a signal system. There are cameras in common areas. The facility does not have a pool/body of water.