Facility Evaluation Report

On January 16, 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. The facility administrator (AD) Milany Mora was present during the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. AD assisted with the inspection.

The PUB475 ‘See Something, Say Something’ poster was observed to be located near the front entrance. LPA observed that Milany Mora does not have a valid Administrator's Certificate at this time.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, all 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 and one ambulatory residents in care, one of which is on hospice, and none are bedridden.

The facility is a single story home. There are a total of eight bedrooms, six of which are private resident bedrooms, and two are staff bedrooms. 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. LPA observed the staff room is kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of four full bathrooms.