Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit. LPA met with Gabriel Abrera, Caregiver and Richard Rabena Jr., Administrator and explained the purpose of the visit. The facility is approved for (5) non ambulatory and (1) bedridden resident age 60 and up. Rooms #1 & 2 approved for staff and licensee, all other rooms are for residents. Room #7 is approved for bedridden, and approved for (2) hospice waivers. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. Bathroom has hygiene items such as hand soap and toilet paper. The Administrator/licensee has not been reviewing and updating the use of infection control procedures at least annually in the facility.

Operational Requirements: The facility accepts and retains residents with dementia . The plan of operation includes training for staff who provide dementia special care.Facility maintains liability insurance in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate which expires on 06/16/2026.

Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood which consists of (5) resident bedrooms, (2) staff bedrooms, (3) bathrooms, living room, dining room, kitchen, and attached garage with an office area. The interior and exterior physical plant was inspected. Resident bedrooms were toured. Each bedroom has a smoke detector, linen, light, chair and sufficient closet space. There are no cameras in the facility. Smoke alarms and carbon monoxide were tested and operable. The facility has a carbon monoxide detector in the hallway. The facility does not have working signal systems in exit points. There are (2) fire extinguishers in the facility which was last serviced on 08/15/2025. Backyard was inspected and has a shaded area and sitting area. There are no swimming pool or bodies of water on the premises. The hot water temperature reading measured within the required 105 - 120 degrees Fahrenheit. Hot water readings were 110.6 deg F in bathroom #1, 117.5 deg F in bathroom #2 and 115.6 deg in bathroom #3. ****REPORT CONTINUED ON LIC809-C*****