Facility Evaluation Report

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with Administrator, Chita Beltran and explained the reason for the visit.

At approximately 09:40 am, with the assistance of Administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There is a carbon monoxide detector that functions properly installed in the kitchen. Fire alarms and carbon monoxide were tested and were functional. The fire extinguisher is located in the kitchen. The purchase date is 08/12/25.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. The laundry area is located by the kitchen, all laundry detergents were locked.

Bedrooms: There were three (3) bedrooms designated for residents' use and one (1) bedroom is designated for staff' use. Residents bedrooms are shared. All three bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 111.3 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection.

Common Areas : These included the living room and dining area. The common areas were properly furnished. The living room is furnished with couches and chairs. Furniture was observed to be in good repair. Floors were mopped and clean. Hallways, entry and exits were clear of any obstruction.