Facility Evaluation Report

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced visit for the purpose of conducting a Required Annual Inspection. LPA met with Administrator (AD) Maria P Osuna and explained the purpose of the inspection.

During the inspection, LPA Ramirez and Staff Moncerrat Pasillas conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following:

This is a two-story building, licensed for one hundred non-ambulatory and one hundred ambulatory with a hospice waiver for ten. Evacuation chairs were observed at every stairway. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. There are two separate courtyard areas that include shaded sitting areas. LPA observed residents socializing in common areas and resting in their respective bedrooms. LPA also observed residents participating in activities such as bingo and sing along. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 110.8 – 111.3 degrees Fahrenheit. LPA observed the facility has an excess of 2-day supply of perishables and a 7-day supply of non-perishable food. Smoke and carbon monoxide detectors tested operational. Fire extinguishers located throughout the facility were observed to be fully charged with service tags dated March 20, 2025. Appliances were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents.

LPA observed that the signal system operates from each resident's bedroom and transmits an auditory signal to the front desk which identifies the specific resident's living unit.