Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with Jessa Valdez for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 02:00 PM and the following was noted:

There is one entrance being utilized at the facility. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for storage and laundry.

The facility is fire cleared for six (06) non-ambulatory, of which two (02) may be bedridden, and a hospice waiver for six (06). The facility is currently occupying four (04) residents. The facility has a total of five (05) bedrooms for residents and two (02) bathrooms.

The living and dining room are neat and clean. The facility maintains a comfortable temperature at 78°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located between the living room and hallway, observed to be fully charged and last inspected 09/9/2025.