Facility Evaluation Report

On 04/01/26, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit at the facility listed above using the full CARE tool. LPA met with Caregiver, Whilma Torres, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

The facility is licensed to serve six (6) non-ambulatory residents of which five may be bedridden with an approved hospice waiver for one (1) resident. During today’s visit there were five (5) residents present.

Physical Plant/Structure The facility is a single-story structure in a residential neighborhood. The facility consists of six (6) bedrooms, 3 and ½ bathrooms, living area, sitting area, dining area, kitchen, laundry room, and detached two (2) car garage. Outside LPA observed a shaded area with a table and chairs for residents. LPA observed all walkways were clean, clear, and free of debris, hazards, and obstructions.

Bedrooms LPA inspected all bedrooms and observed them to be clean and in good repair. All rooms had the required furniture including a bed, dresser, chair, and ample storage space for residents’ personal belongings. LPA observed the beds had the required linens including a mattress cover, fitted sheet, flat sheet, blanket, comforter, and pillows. LPA observed an ample supply of linens in the closet in the hallway.

Bathroom LPA observed the bathrooms to be clean and operational. LPA observed secure safety handrails, a shower chair, and non-skid mat. LPA observed an ample supply of towels in the hall closet. LPA observed an ample supply of hygiene products in the hall closet. The water temperature in the bathrooms measured 105.7-degrees, 106.3-degrees, 108.4 and 105.8-degrees Fahrenheit.

Common Rooms LPA observed a large couch and three (3) recliners in the living area to accommodate all residents. In the sitting area, LPA observed two (2) recliners. The dining room has a large table with chairs to accommodate all residents. LPAs observed that all walkways and hallways in the facility are clean, clear, and free of obstructions and hazards. All rooms were observed to have ample lighting.