Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit on 10/29/2025 and was greeted by two staff members. The Administrator David Salvador was called. LPA stated the purpose of the visit was to conduct an annual inspection. The caregivers confirmed there are five residents. The facility is licensed for five (5) non-ambulatory residents and one bedridden resident.

LPA reviewed resident files at 11:15 am until 11:45 am. LPA reviewed staff files at 11:45 am until 12:10 pm. LPA reviewed resident's medications at 12:10 pm until 12:25 pm.

LPA Spaeth and the caregiver toured the facility at 12:25 pm until 1:00 pm.

Common Areas – The family room, dining room, and kitchen are combined. The family room was furnished with comfortable seating and a television. The dining room area contained a dining room table and chairs.

Kitchen - LPA Spaeth observed a two-day supply of perishable food and a seven day supply of non-perishable food. The knives were locked. The cleaning solutions were locked underneath the kitchen sink. The fire extinguisher is located near the kitchen and is operable.