Facility Evaluation Report

On 09/05/25, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. LPA met with Administrator, Bessie Coello, 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 over the age of 60. The facility has an approved hospice waiver for four (4).

Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident rooms, 2 bathrooms, living room, dining room, kitchen, laundry area, detached garage, and outside shaded patio area. On the outside patio, LPA observed a table with umbrella and chairs available for resident use. LPA observed all walkways around the facility to be clean, clear, and free of obstructions, debris, and hazards. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all residents’ rooms and observed the walls and floors to be in good repair. LPA observed all resident rooms had the required furniture including a bed, dresser, nightstand, chair, storage space for personal belonging, and ample lighting. LPA observed all beds had the required linens including a mattress cover, fitted sheet, blanket, comforter, and pillows. Beds and bedding were observed in good condition. LPA observed an ample supply of bed linens, and comforters at the time of visit.

Bathrooms LPA inspected the facility bathrooms and found them to be within Title 22 regulations. All bathrooms were observed clean and operational. LPA observed storage area for personal hygiene products. LPA observed an ample supply of towels and personal hygiene products available for residents. All showers had non-slip material, shower chairs and secured safety handrails. The water temperature measured 108.3-degrees and 109.1-degrees Fahrenheit.

Kitchen LPA inspected the kitchen and observed it to be clean and sanitary. LPA observed all appliances to be operable and in good repair. LPA observed an ample supply of dishware, cookware, and cutlery. LPA