Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced annual inspection visit on 11/14/2025 and was greeted by Administrator Joshua Castillo. LPA Ramirez identified herself and explained the purpose of the visit. The facility is located on a main street and is a two-story 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 in resident room#207 (R2’s room). Administrator Castillo immediately removed upon LPA Ramirez’s observation. LPA Ramirez observed R5’s bathroom cabinet was unlocked and R5 had direct access to personal grooming and hygiene items. Per R5's recent physician's report, R5 may not have direct access to personal grooming and hygiene items. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected six (6) resident rooms. All resident bedrooms contained 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 no-slip coating in showers.