Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 98 non-ambulatory residents of which 20 may be bedridden. Facility has an approved hospice waiver for 20 residents. Executive Director (ED) Yaylene Mazariegos was present to conduct facility tour. ED has a valid certificate that expires on 08/16/2026. ED provided proof of liability insurance which expires on 10/18/2026.

LPA along with ED toured the facility at 9:00 AM. LPA toured the physical plant, checked food service, and facility documentation. The facility is a 2 story building with a secured memory care unit on the first floor. Seven resident bedrooms checked had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Seven resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and showers were free of mold/mildew. Water temperature measured between 107.7 degrees F and 113.7 degrees F in all bathrooms checked. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. LPA observed memory care delayed egress exits are operational. LPA and the ED toured the kitchen and dining room. The kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the refrigerator and freezer were operational. LPA checked refrigerator logs and observed meal preparation for lunch. Fire extinguishers observed were fully charged. LPA observed the call system is operational. LPA observed the call response time is less than eight minutes. LPA observed emergency evacuation chairs at each stairwell. LPA observed there is outdoor shaded seating areas for memory care and assisted living. There are no bodies of water in the outdoor areas of the facility.