Facility Evaluation Report

On October 10, 2025, 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) Omega Ferrer 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 next to the front door. LPA observed the Administrator's Certificate for Omega Ferrer, which expires on December 4, 2025.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, one of which may be bedridden, and six may be on hospice. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of six non-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 rooms, and one is a shared bedroom. AD reported that staff work overnight awake shifts. 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 two resident bathrooms.

Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be between 112.2 and 113.5 degrees Fahrenheit. Continued on LIC 809-C.