Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an annual required visit to this facility today. The LPA was greeted by staff upon arrival. Licensee and Administrator Irma Carmona and Cynthia Alvarez were contacted via telephone, but were not available during today's visit. Reason for the visit was explained. Licensee authorized facility staff to sign today's report.

Beginning at 09:46AM, the LPA along with facility staff Aljon (Al) De Jesus conducted the physical plant tour. The common areas, kitchen area, resident bedrooms, bathrooms, and outdoor areas were toured to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

BEDROOMS : The facility contains 9 (nine) total bedrooms; 6 (six) are single-occupancy resident rooms and 3 (three) are designated as staff rooms. Staff rooms remain locked. All resident rooms were observed and were furnished appropriately; beds had clean linens and rooms had sufficient lighting. All direct exits were clear and no obstructions were noted.

RESTROOMS : Each resident room has a restroom and there is one common restroom in the hallway. Restrooms were clean and sanitary with grab bars and slip-resistant surfaces. Hot water temperature was measured in a sample of resident restrooms and measured within the required range. Restrooms were fully stocked with hand soap, paper towels and toilet paper.

COMMON SPACES : The LPA observed the living room area which was observed to be clean and properly furnished for resident use. Smoke detectors and carbon monoxide detectors were tested and operable at the time of the visit. Fire extinguishers were fully charged and serviced 3/19/2024. Licensee stated that the