Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Ricky Edora after introducing self and stating the reason for the visit. Administrator (Admin) Angelina Teves arrived on premise shortly after to assist with the inspection. Admin has a valid certificate expiring on August 26, 2026.

The following was observed during the inspection:

This is a two story property located in a residential neighborhood comprised of four resident bedrooms and two resident bathrooms on the first floor. There are three bedrooms and two bathrooms on the second floor occupied by the live-in staff and administrator. Facility operates within the conditions and limitations specified on the license. There are two staff on duty with six residents in care, two of which are receiving hospice services. LPA along with Admin toured the interior portion of the facility. The facility is clean and in good repair. All common areas were inspected including the garage. LPA inspected all resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All resident bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the resident bathrooms measured at 114.9 and 113.0 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food.