Facility Evaluation Report

On October 16, 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) Eleazar Cuyson about the visit. For this visit, there are two staff members on duty, all 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 by the hallway. LPA observed the Administrator's Certificate for Eleazar Cuyson, which expires on May 27, 2026.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six non-ambulatory residents, none 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 five 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 four bedrooms, two of which are private resident rooms, and two are shared resident rooms. 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 are hardwired and auditory exit alarms were tested and operational. There are a total of two 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 108.5 and 111.2 and degrees Fahrenheit. Continued on LIC 809-C.