Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry and met with Administrator (AD) Dante Encarnacion and explained the purpose of the inspection.

During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, and observed the following:

This is a one-story apartment complex with 24 client bedrooms and 8 bathrooms. All resident bedrooms had the required furnishings. Client beds were observed to have linens and blankets. The courtyard has multiple shaded sitting areas. LPA observed clients in common areas, socializing and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew and faucets and toilets were operational. Water temperature tested at 116.0 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers were observed to be fully charged and mounted on the wall, with at least one along every facility hallway, with service tags dated May 23, 2025. Gas stove, microwave, dishwasher, laundry washers and dryers were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to clients. Medication was observed to be centrally stored and locked. LPA reviewed six client files and two staff files. Five of six client files did not contain an appraisal dated or signed in the last twelve months and one of six client files did not contain a physician report; two Deficiencies were cited on today’s date. LPA interviewed clients and staff. (Cont. LIC809-C)