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 Gloria Ludaes after introducing self and stating the reason for the visit. Administrator (Admin) Kevin Ismaili arrived on premise with the personnel file approximately 12:15pm after multiple attempts during the course of 4 hours and remained at the facility to assist with the inspection. Admin does not have a valid certificate which expired on April 20, 2025. LPA also verified that the application was incomplete and was not on the Administrator Certification Bureau (ACB) renewal application list.

The following was observed during the inspection:

This is a single story property located in a residential neighborhood comprised of four resident bedrooms, one office space also utilized as a staff living quarter, and two resident bathrooms. Facility operates within the conditions and limitations specified on the license. There are two residents in care, one of which is receiving hospice service. LPA along with Caregiver Ludaes toured the interior portion of the facility. The facility is clean and in good repair with the exception of a malfunctioning doorbell. All common areas were inspected including the attached two car garage. The fireplace is appropriately screened in the living room. 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 bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 129.2 and 129.8 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food.