Facility Evaluation Report

On 06/04/25, at 9:25AM, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. LPA was met by Office Manager/HR Specialist-Debra Ingram and Maria Ortiz-Vice President.

LPA asked for the census, participant, and staff files. The staff and participant files are digital.

The physical tour started at 11:45am and LPA observed the following:

Common Areas : At approximately 11:45am, LPA and Vice President toured the facility. There is one (1) large activity room that can be divided by a divider to become two (2) activity rooms. LPA observed proper tables and chairs for the participants. All trash cans were observed to have lids. The facility maintains a temperature at 72F. There is a large conference room for meetings. There is another room for storage.

The bathrooms: LPA observed three (3) bathrooms to be clean and have the wash your hands signs posted. One (1) of the bathrooms has a shower that can be used for the participants. Another bathroom has a changing table for incontinence participants. And one (1) bathroom does not have a shower or incontinence change table. The bathrooms have grab bars. The hot water temperature tested in the bathroom is with in required range between 110-115F. Trash cans in all bathrooms have lids. The First Aid kits were observed to be complete. There are two (2) first aid kits.