Facility Evaluation Report

On 04/03/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced continuation Annual Visit at the facility listed above. LPA met with Administrator, Ana Tojo, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is approved for six (6) non-ambulatory clients over the age of 59; two (2) of which may be bedridden. There are currently five (5) residents in care residing at the facility and all were home during time of visit.

Physical Plant/Structure The facility is a single-story home located in a residential neighborhood. The facility has four (4) resident rooms, living room, dining room, kitchen, two (2) bathrooms, laundry area, attached garage, and outside patio with table, chairs, and umbrella. All walkways were observed clean, clear, and free of obstructions, hazards, and debris. There were no bodies of water observed on the premises.

Bedrooms LPA inspected all resident bedrooms. LPA observed all rooms have the required furniture, including a bed(s), dresser(s), nightstand(s), chair(s), and storage space for personal belongings. LPA observed all beds have the required