Facility Evaluation Report

On 12/3/2025 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced. Staff greeted LPA and allowed entrance into the facility. Administrator Noemi Gallo Anaya was contacted and arrived shortly after.

Facility is licensed for a capacity of 6 with a current census of 6. Residents share rooms and were on their way to day program when LPA arrived. LPA observed the facility to be clean, clutter free, and odor free. All exits are clear and free from obstruction. LPA observed water temperature to read at 112.2 degrees Fahrenheit in the kitchen and 105 degrees Fahrenheit in the common bathroom. Fire extinguisher was last serviced on August 15, 2025 and still holds charge. Smoke detectors and carbon monoxide detectors were tested and are in working order.

LPA reviewed resident and staff files. Sample of staff files were reviewed and are current. Resident's have physician reports but required information is missing. Licensee will correct and provide updated physician reports the Department by POC due date. LPA reviewed medications and did not find any errors. Centrally stored log was not properly completed. Licensee will correct and provided corrected logs to the Department by the POC due date.

LPA observed medications, knives, and chemicals to be locked and inaccessible to residents in care. LPA observe residents rooms to be properly furnished with adequate lighting.

Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Noemi Gallo Anaya.