Facility Evaluation Report

On 05/20/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced required Annual Visit using the CARE Inspection Tool. LPA met with Administrator, Arlene Feliciano, 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, with an approved hospice waiver for one (1) resident. There are currently five (5) residents residing in the facility, one (1) resident is receiving hospice care.

Physical Plant/Structure The facility is a single-story structure in a residential neighborhood. It consists of the following: five (5) resident rooms, a staff room, two (2) bathrooms, living area, dining area, kitchen, attached garage, and an outside shaded patio area. All walkways around the outside of facility were observed clean, clear, and free of hazards, obstructions, and debris. All safety handrails on the ramps and stairs are securely fastened. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all bedroom and found them to be clean and in good repair. LPA observed all bedrooms have the required furniture including a bed(s), dresser(s), nightstand(s), chair(s), ample storage space for resident’s personal belongings, and ample lighting. LPA observed all bed have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillow. LPA observed an ample supply of linens in good repair, stored in a cabinet in the hallway.

Bathrooms LPA inspected all bathrooms and found them to be within Title 22 regulation and were operable. Showers were observed clean, clear and free of mildew and/or mold. The bathrooms have secured safety handrails. LPA observed showers have shower chairs and nonskid mats. LPA observed an ample supply of hygiene products for residents inaccessible to residents. LPA observed an ample supply of towels in good repair. The water temperature measured 105.9-degree and 107.5-degrees Fahrenheit.