Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility to conduct an Annual Required Evaluation. LPA was greeted and granted entry by staff at 12:30pm. LPA met with Administrator Marites "Tess" Villanueva and explained the purpose of the visit.

The facility is a single story, five bedroom, two bathroom residential home with an approved fire clearance of six non-ambulatory residents with a hospice waiver for six residents. Currently there are four residents in care and none of the residents receive hospice services.

LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. Staff trainings were current and documented. The administrator has a current administrator's certificate which expires on December 12, 2027. The facility has liability insurance and the Emergency Disaster Plan was reviewed and initialed. Licensing fees are current and the See Something, Say Something and Long Term Care Ombudsman posters were posted in a prominent area.

During the visit, LPA toured the facility and inspected carbon monoxide and smoke detectors. The carbon monoxide and smoke detectors were operational. The facility was 73 degrees Fahrenheit and there were no odors detected. The fire extinguisher was charged and inspected on June 23, 2026. The facility's last fire and heat drill was conducted on July 10, 2026. LPA observed the sharps and knives were secured in a locked cabinet and chemicals were secured underneath the sink. The facility had two days of perishable food items and seven days of non perishable food items on site. A weekly food menu was observed on the refrigerator. All kitchen appliances and washer and dryer were in working order.