Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced annual inspection of the facility. Upon arrival, LPA Haddadin was greeted by care staff Eliseo Mannuel, who granted entry and was informed of the purpose of the visit. LPA toured both the interior and exterior of the facility and made the following observations.

The facility is licensed to operate for six (6) non-ambulatory residents and has an approved hospice waiver for six (6) residents. It is a single-story structure located in a residential neighborhood and consists of four (4) resident bedrooms, two (2) bathrooms, a living room, dining room, kitchen, attached two-car garage, and an outdoor covered patio. At the time of the inspection, five residents were in care.

All resident bedrooms were inspected and observed to be appropriately furnished with a bed, chair, and clean linens, with adequate storage available. The rooms were free of tripping hazards. The kitchen was in good repair, with all major appliances operational. However, sharps and knives were not secured and were accessible to residents. In addition, chemical supplies were accessible underneath the kitchen sink and in the cabinet beneath the sink located in Bathroom 1.

The exterior of the facility was well maintained. Furnishings were in good repair, pathways were unobstructed and free of hazards, and the grounds appeared safe and welcoming, with a shaded seating area available {***CONTINUE 809C***}.