Facility Evaluation Report

On 10/11/2024 at around 8:00 AM, Licensing Program Analyst (LPA) Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with the Administrator Kristine Simonian. LPA explained the purpose of the visit and was accompanied by a staff member inside and outside the facility during this inspection.

This facility is licensed to serve 6 non-ambulatory adults ages 60 and above, of which 2 maybe on hospice.

A total of 5 non-ambulatory residents are currently residing in this facility.

The facility is a one-story house located in a residential street. The home consists of 3 resident bedrooms, 3 full bathrooms, 1 toilet room, 1 office, 1 living/dining room, 1 kitchen, 1 attached garage, and 1 backyard patio area with shaded seating.