Facility Evaluation Report

On July 14, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Anthony Coloma about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. AD later arrived to assist with the inspection.

The PUB475 ‘See Something, Say Something’ poster was observed to be located near the front entrance. LPA observed that Antony Coloma has a valid Administrator certificate which expires on November 25, 2026.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, none of which may be bedridden, and a hospice waiver for five. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of four non-ambulatory, one ambulatory residents in care, two of which are on hospice, and none are bedridden.

The facility is a single story home. There are a total of five bedrooms, four of which are private resident bedrooms and one is a shared bedroom. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of three bathrooms for residents and staff.