Facility Evaluation Report

On August 28, 2025, Licensing Program Analysts (LPAs) Brandon Lopez and Garlli Tat made an unannounced visit to the facility to conduct the required annual inspection. LPAs were greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Luzviminda Brimbuela was present and assisted on today's inspection. LPA observed that Luzviminda Brimbuela submitted a renewal application to the Administrator Certificate Bureau on July 1, 2025

The facility is a Adult Resident Facility (ARF) licensed for forty two ambulatory clients. The facility consist of eight client bungalows, a medication room in the front bungalow, a commercial kitchen, a dining room, a multipurpose room, a laundry room, and a garage. LPAs, accompanied by the AD, conducted a tour of the interior portions of the facility. On today's visit, there are thirty four clients in care and five staff present. LPAs inspected all eight client bungalows which consisted of bedrooms, bathroom, and a living room. LPAs observed client bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPAs observed client beds to have clean linens and blankets. LPAs observed additional linens to be stored in a hallway closet in each bungalow. LPA inspected the client bathrooms in each bungalow and observed them to be clean. Bathrooms were equipped with non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 108.8 and 117.1 degrees Fahrenheit.

LPAs inspected the commercial kitchen to be kept and inaccessible to clients in care. LPAs observed the commercial kitchen has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPAs observed the four burner gas stove lights unassisted. CONTINUED ON LIC809-C