Facility Evaluation Report

On June 16, 2025, at 1:00pm, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced

required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was

greeted and granted entry by Caregiver (CG) Connie Martinez after explaining the purpose of the visit. Administrator Lawrence Lindsey was contacted by telephone and stated he was available by phone, as needed. AD Lawrence Lindsey has an administrator certificate with an expiration date of December 25, 2025.

The facility is licensed to operate for six (6) non-ambulatory, of which one (1) may be bedridden and a hospice waiver for three (3) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living area, dining area, kitchen, an attached garage, and outside covered patio area. There are five residents on census, all present during today’s visit. LPA obtained copies of pertinent documents, including facility records, clients/staff rosters and Personnel Record (LIC500).

During the visit, LPA Bentley toured the interior and exterior of the physical plant with CG Martinez and observed the facility to be appropriately furnished at the time of visit. Sharp objects were stored and locked. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available. LPA observed unsanitary conditions in the kitchen and bathroom, the garage full of storage and clutter, and there is only one exit gate in the backyard, which is in need of repair. LPA also observed multiple areas in the garage where toxins are stored in the same area as food items.