Facility Evaluation Report

Licensing Program Analysts (LPA)s Valeria Conway and Martha Arroyo arrived at the facility at 9:15 A.M., for an unannounced annual inspection. Upon arrival, LPAs met with Evelyn Pena, Wellness Director and at this time the reason for the visit was explained. Administrator Yehuda Cohen was contacted via telephone and arrived at 10:20 A.M. Entrance interview conducted.

Beginning at 11:05 A.M., the LPAs along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

Initial test (5-Year) fire sprinkler inspection was completed on 02/16/2022. Fire permit completed on 1/4/2025 and valid through 12/31/2025. Fire safety concerns were noted by Fire Inspector Benjamin Guzman on 01/29/2025. Facility is licensed for 46 ambulatory residents, of which 10 may be bedridden. Fire extinguishers throughout the building were observed to be fully charged and last serviced on 09/09/2024. At 11:10 A.M., dining room carbon monoxide alarm was tested but not functioning; at 11:35 A.M. hallway carbon monoxide alarm was tested and properly functioned at the time of the visit. Technical violation (TV) issued. The Facility does handle cash resources for some of the clients. Surety Bond is current. T his facility doesn’t have a staff room, facility will provide 24/7 care.