Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility for the purpose of completing the annual required inspection. Upon arrival, LPA was greeted and granted entry by Office Manager, Rommel Ringor

LPA toured the interior and exterior of the facility and observed the following: The facility is a single-level structure licensed to serve six (6) non-ambulatory residents, of which one (1) may be bedridden. The facility also has a hospice waiver for six (6) residents. The home consists of four (4) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, a living room area, dining room area, kitchen, outdoor shaded seating area, and an attached two-car garage.

LPA and AD tested the smoke detectors and carbon monoxide detectors in the common areas and resident bedrooms, and all were observed to be operational. Residents’ bedrooms contained the required furniture, bed linens, and adequate closet and drawer space to accommodate residents comfortably.

LPA observed fire extinguishers mounted in the kitchen and garage areas. The last inspection date for the fire extinguishers was December 18, 2025. Upon review of records, the emergency drill log indicated the most recent drill was conducted on May 13, 2025. LPA observed that sharps and knives were locked in the kitchen and inaccessible to residents in care. Restroom toilets and water faucets were operational. Grab bars were secure, and showers were observed to be free of mold and mildew. The hot water temperature was measured between 109.1 degrees Fahrenheit and 109.6 degrees Fahrenheit. {CONTINUE 809}