Facility Evaluation Report

On 07/02/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced required annual visit. LPA Melissa Spaeth was greeted by the live in caregivers. The caregivers called the Licensee, Nicole De Las Alas and informed her LPA was present at the facility. The facility is licensed to serve six (6) non-ambulatory residents of which one (1) may be bedridden. There is a hospice waiver for three residents.

LPA and the caregivers toured the facility at 9:40 am until 10:20 am.

Kitchen - LPA observed a two-day supply of perishable foods and a seven-day supply of non-perishable food items. LPA observed a kitchen drawer was unlocked and contained a resident's medication. At 10:10 am, LPA instructed the caregiver to remove the medication. LPA observed the caregiver locked the medications in the medication cabinet. LPA observed the cleaning supplies were locked underneath the kitchen sink. The knives were locked in a drawer.

Resident Bedrooms – The bedrooms contained a bed, linens, night stand, night lamp, chest of drawers and closet.

Staff Room – At 9:55 am, LPA observed the staff’s bedroom was not locked and a staff member's medication was sitting out and not locked in a secure location.