Facility Evaluation Report

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by staff #1(S1) . Shortly after, LPA met with Administrator Chita Beltran and explained the reason for the visit. A tour of the physical plant was conducted at 09:30 AM.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives and detergents were stored in locked drawers and cabinets. Properly labeled medications were locked in a cabinet near the kitchen. Bedrooms: There were three bedrooms designated for residents' use. All bedrooms are designated for shared use. Bedrooms were clean, properly furnished and had sufficient lighting.

Bathrooms: There were two bathrooms designated for residents' use. Both bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was 106.3 degrees Fahrenheit. Cleaning supplies were kept in locked cabinets. Hallway : There was a large closet full of extra towels and linens that were readily available. Temperature: Facility maintains a comfortable temperature of 75 degrees Fahrenheit.

Common Areas : These included the living room and dining area. The common areas appeared clean and were properly furnished. Surrounding Grounds : Entry/exits were free of obstruction. The outdoor area was clean and free of hazards. There is a clean covered shaded area in the back yard and there is a pool which has a gate and is kept locked and inaccessible to residents in care. The gates at both sides of the home were checked to ensure no locks were installed, and that exits and passageways were clear for emergency evacuation. Smoke alarms and carbon monoxide: detectors were tested and they function properly. There was a fire extinguishers at the facility with the purchased date on 05/26/25

Garage/Laundry area: LPA observed the garage and laundry are to be locked and not accessible to residents. (Continue on 809C)