Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility administrator Faith Rasouli after stating the purpose of the visit.

There are currently six residents in care, none of which are receiving hospice care at this time. Residents are observed relaxing in their respective bedrooms and in the common areas. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with six private bedrooms used by residents and one locked staff room. There are two bathrooms used by residents, including one en-suite bathroom located in one of the rooms. None of the residents are assessed to be bedridden at this time. Physician orders for residents using postural supports verified to be on file. One resident currently admitted to skilled nursing is noted to have full rails despite not receiving hospice care. Consultation provided.

All occupied bedrooms appear clean and sanitary. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are all equipped with grab bars and slip mats. Hot water temperature measured at 108.4F in the shared bathroom with faucets used for personal grooming by residents.

LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage are verified to be secure. Two wall-mounted fire extinguishers are present and verified to be charged. Receipts for purchase are dated December 31, 2025. Carbon monoxide and smoke detectors are present and operational.