Facility Evaluation Report

On June 4, 2025 at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by the Caregiver (CG) Ramon Vera, and explained the reason for the visit. Administrator Zenaida Vera joined shortly after and was present throughout the visit. AD Zenaida Vera has an Administrator certificate that expires on November 13, 2025.

The facility is a single story building with an approved fire clearance of three non-ambulatory residents of which one may be bedridden and three approved for hospice. The facility currently has a census of one resident in care, on which one is on hospice.

At 9:00 AM, LPA Bentley toured the facility with CG Vera. The home consists of 4 resident bedrooms,1 staff bedroom, 3 full bathrooms, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperatures measured between 108.3 degrees F. and 117.9 degrees F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards and doorways were free of obstructions. Kitchen was inspected and found clean and sanitary. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps and toxin substances to be secured and locked and inaccessible to residents. Kitchen appliances are operational during today's visit.