Facility Evaluation Report

On 09/10/25, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with staff one, Rino Santos - house manager (S1). LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory elderly adults ages 60 and above. The facility is approved for (2) hospice residents and the facility currently has (2) hospice residents in care.

The facility is a single-story structure, located in a residential neighborhood. It consists of the following: (4) residents' rooms, (2) bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, a shaded outside seating area, with an attached garage.

LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. During LPA's inspection, LPA noticed food items left on the stove, out of the refrigerator. LPA also observed the facility needing repairs of the wall in bedroom number three (#3). Bed linens, comforters, and bath towels were adequately stocked during today's visit. Bathrooms were operational and no mold was observed in bathroom numbers one (#1) and two (#2) showers. Bathroom #1 and #2 are in need of repair, as the maximum water temperature was measured at ninety-six point eight (96.8)°F (Degrees Fahrenheit), which is below title 22 regulation. LPA observed cleaning detergents stored properly and out of reach to residents in care. Water temperature was measured at 107.6°F (degrees Fahrenheit) in the kitchen and a comfortable temperature of 73.4 degrees F was maintained in the facility.