Facility Evaluation Report

On 01/06/26 at 1:15pm, Licensing Program Analyst (LPA) Wendy Gibbs conducted an unannounced Required 1-year Annual Visit to the facility listed above. LPA met with Designee, Enrico Santos, 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 ages 60 and above, five (5) of which may be bedridden, with an approved hospice waiver for six (6) residents.

Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) residents’ rooms, a staff room, four (4) bathrooms, living area, dining area, kitchen and outside covered patio area with a table and chairs. There is an attached garage with access only through the front of the garage and it is used for storage. The garage has a washer and dryer for laundry and an additional refrigerator. LPA observed all outside walkways to be clean, clear, and free of obstructions, hazards, and debris. LPA observed the gates on the side of the facility open easily from the inside to exit. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all bedrooms and found them to be clean and in good repair. All rooms had the required furniture including bed(s), dresser(s), nightstand(s), chair(s), and ample storage space for resident’s personal belongings. LPA observed beds have the required linens including a mattress cover, fitted sheets, blankets, comforter, and pillows. LPA observed beds and bedding supplies were in good repair and an adequate supply was available. All bedrooms were observed with ample lighting.

Bathrooms LPA inspected all bathrooms and found them to be to be within Title 22 regulations and were clean and operational. All safety handrails are secured. LPA observed showers with nonskid mats and a shower chair. The water temperature measured 111.3-degrees, 113.3-degrees, 114.8-degrees and