Facility Evaluation Report

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez was greeted and granted entry by staff on duty, who contacted facility administrator (AD) Camille Santos about visit. For this visit, there are a total of 6 resident in care, of which all 6 are on hospice and 1 is bedridden. For this visit, AD Camille Santos and Tristan Lingat were present.

LPA Rodriguez observed the administrator certificates for Camille Santos expires on May 6, 2026, Fregil Jimenez expires on August 24, 2025 and Tristan Lingat expires on October 16, 2025. LPA Rodriguez observed that the PUB475 "See Something, Say Something" poster was posted at the entrance of the facility.

The facility has a total of 6 bedrooms, of which 1 is designated for staff, 1 shared resident room, and 4 private resident rooms. LPA Rodriguez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Facility was observed to have 3 bathrooms, of which were observed to be in good repair, and toilets were operational. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational.

Hot water was measured at 112.8 degrees Fahrenheit. LPA Rodriguez observed that the facility had a two-day supply of perishables and a seven-day supply of non-perishable food. LPA Rodriguez observed hallways were free of obstructions.