Facility Evaluation Report

On November 12, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry into the facility by Licensee (LI) Femy Salvador after explaining the purpose for the visit. LPA observed that Femy Salvador has a valid Administrator certificate which expires on November 7, 2027.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for six. The facility is a one story home with four resident bedrooms, two of which are shared, one staff bedroom, two shared resident bathrooms, a living room, a family room, a dining room, a kitchen, and an attached two car garage. LPA, accompanied by the LI, conducted a tour of the interior portion of the facility. On today's visit, LPA observed three residents in care and two staff present. LPA observed residents relaxing in the family room and in their respective bedrooms. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall in the living room. LPA inspected the four resident bedrooms, and observed to be free of any hazards. LPA observed the resident bedrooms have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. Resident beds had clean linens and blankets. LPA observed additional linens to be stored in a hallway cabinet. LPA inspected the two shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 105.6 and 109.5 degrees Fahrenheit. LPA observed the staff bedroom to be locked and inaccessible to residents in care.

LPA observed the kitchen has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed knives and sharps to be stored in a locked kitchen cabinet. CONTINUED ON LIC809-C