Facility Evaluation Report

On June 6, 2025 at 10:15am, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility to conduct an unannounced required 1-Year annual visit using the CARE Inspection Tool. LPA announced self and stated the purpose of the visit to Caregiver (CG) Francis Fonseca and was granted entry. Administrator (AD) Rosa “Janeth” Figueroa was contacted by telephone, arrived at the facility a short time later, and was present throughout the inspection. Administrator certificate for Rosa Figueroa expires on September 8, 2025.

There are six residents on census. One resident on Hospice and three with dementia currently living at the facility. During today’s visit, six residents and three staff are present. LPA obtained copies of pertinent documents for clients and staff, including facility records: resident/staff rosters, Personnel Record (LIC500), resident and staff records.

The facility is a one story home licensed for 6 non-ambulatory residents and has a Hospice waiver for 4. There are 5 resident bedrooms, 4 bathrooms, a living room area, a kitchen, a dining room area, and attached two car garage.

Around 11:00am, LPA conducted a tour of the facility with AD Figueroa and the following was observed:

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. 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 101.3 degrees F. and 102.5 degrees F and a deficiency was cited. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit.