Facility Evaluation Report

On 04/23/2026, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. LPA met with House Manager, Edilberto Bernardino and the purpose of today’s visit was explained. LPA was granted entry into the facility.

The facility is licensed to serve 6 non-ambulatory residents over the age of 60, with an approved hospice waiver for 6 residents. Currently five (5) residents reside at the facility, and all five (5) were present during the visit.

Physical Plant/Structure The facility is a single-story home in a residential neighborhood. The facility consists of six (6) resident bedrooms, five (5) bathrooms, staff office, living room, dining room, kitchen, and garage. LPA inspected the inside and outside of the facility. The front yard was observed to be landscaped and well maintained. The backyard has a covered patio with a large table and chairs to accommodate all residents. An additional table and chair are under the shade of a tree. The backyard is landscaped and well maintained. LPA observed all walkways around the home are clean, clear, and free of debris, obstructions, and hazards. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all bedrooms and observed them to be clean and in good repair. All bedrooms had the required furniture including a bed, dresser, nightstand, chair, and storage space for personal belongings. All beds were observed to have the required linens including a mattress cover, fitted sheet, flat sheet, blanket, comforter, and pillows. LPA observed an ample supply of linens in a cabinet in the hallway. LPA observed all rooms have ample lighting.

Bathrooms LPA inspected all bathrooms and found them to be clean and operational. All showers were observed to be clean and free of mildew and mold. All showers had a nonskid mat, shower chairs, and secured safety handrails. LPA observed an ample supply of hygiene products and incontinent care products