Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced annual inspection visit on 9/06/2025 and was greeted by Caregiver Antonio Santiago. Administrator Ana Duenas arrived shortly after. LPA Ramirez identified herself and explained the purpose of the visit. The facility is located on a residential street and is a single store dwelling.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be accessible to resident#1 (R1). Per R1's physician report, R1 may not have access to these items. Staff immediately removed these items upon LPA's observation. LPA Ramirez observed ZZZQuil supplement and Ultra Strength Sleep aid supplements on top of R1's nightstand. Per R1's physician report, R1 may not have access to these items. Staff immediately removed these items upon LPA's observation. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected four (4) resident rooms. All resident bedrooms contained the required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and inside shower. LPA Ramirez observed non-slip coating in showers. LPA Ramirez observed seated shower chairs in bathrooms. LPA Ramirez observed 2 discarded hospital bed frames blocking passageway access to from bedroom#3. Staff are throwing disposing R1, R3 and R4's used lancets in the trash can. LPA Ramirez observed bathroom cabinet drawer in bedroom#3 to be in disrepair and exposing sharp screws.