Facility Evaluation Report

Licensing Program Analyst (LPA) N. Galarza arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation. LPA was greeted and granted entry by Administrator Bryan Bernardino. Administrator has a valid administrator's certificate expiring on 12/5/2026. *Note: Administrator on record is not current.

The following was observed during the inspection:

Infection Control: The facility has an Infection Control Plan.

Operational Requirements: A Dementia and hospice waiver for 6 residents has been approved. A fire clearance for 6 bedridden adults 60 and over. Facility does not handle resident P & I monies. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 7/1/2027.

Physical Plant/Environment Safety: The interior and exterior physical plant was inspected. The facility is a single-story home located in a residential area consisting of six (6) private bedrooms, four (4) bathrooms, kitchen with laundry area, dining room, living room, attached 2-car garage, backyard outdoor covered patio, storage shed in the rear of the backyard. Front and backyards have pavers. Resident rooms are equipped with required furniture, mattress pads, and lighting. Cleaning supplies and toxic substances are inaccessible to residents. The facility has one fire extinguisher. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Electrical smoke and carbon monoxide detectors were tested and are operational. It is equipped with sprinklers. The facility maintains emergency food supply and water. Emergency Phone numbers, exit plan and programming schedules were posted. The building contains central air conditioning and heating. Exit doors are free of any obstruction and there are no pools. The last Emergency Disaster drill was conducted on 7/2/2026.

* A citation was issued: The kitchen door connects to garage does not open & there are missing pavers on the side of the home that pose a tripping hazard .