Facility Evaluation Report

LIcensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 (S1) at 1:15pm. LPA met with Administrator Celia Rodriguez and explained the purpose of the visit.

The facility is a five bedroom, three bathroom single-story residence with an approved fire clearance for five non-ambulatory and one bedridden. The facility is approved for a hospice waiver for three. Currently no residents are on hospice at this time.

During the visit LPA toured the kitchen and observed the refrigerator had two days of perishable items and seven days of non-perishables. All appliances were operational. Sharps and knives are secured and cleaning supplies are locked underneath the sink. The washer and dryer room are adjacent to the kitchen and are in working order. The fire extinguisher was charged and serviced and the facility conducted a fire drill on April 14, 2026. Smoke and carbon monoxide detectors were inspected and were operational.

LPA toured resident rooms and all bedrooms had linens, and required furnishings. The facility was clean and there were no odors detected. LPA tested hot water temperature in two of two resident bathrooms. The hot water temperature ranged between 108.5 to 113.5 degrees Fahrenheit. Bathroom showers had grab bars and non-skid flooring.

LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. A First Aid Kit had the required elements and a First Aid Book was obtained.