Facility Evaluation Report

On 08/20/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with the Administrator Virginia Asis and Administrator Assistant Rodolfo Lozada. The facility is licensed to serve six (6) non-ambulatory residents age 60 and over. The facility has a hospice waiver approved for six (6) residents. The facility currently has four residents with Assisted Living Waivers (one resident pending approval). Annual Fees are current.

The facility is a single-story house located in a residential neighborhood and consists of three (3) bedrooms, two (2) bathrooms, family room/activity area, kitchen, dining area, and staff room. Administrator Assistant accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. The facility is clean, sanitary, and in good repair.

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Continue to LIC809-C.