Facility Evaluation Report

On November 4, 2025, Licensing Program Analysts (LPAs) Brandon Lopez and Garlli Tat made an unannounced case management visit for a Health & Safety check. LPAs were greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Eleazar Cuyson was notified via telephone and later arrived to assist with the inspection.

On today's visit, LPAs observed five residents in care and two staff present. LPAs observed residents watching television in the living room. LPAs observed residents to be in clean clothes. LPAs, accompanied by the AD, conducted a tour of the physical plant. LPAs inspected the four resident bedrooms and observed them to be free of hazards. LPAs observed residents' bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPAs observed the lights in each of the resident bedrooms to be operational. The water and toilets in each of the resident bathrooms were operational. The hot water temperature measured 108.3 degrees Fahrenheit.

LPAs observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPAs observed kitchen appliances to be clean and operational. LPAs observed the four burner gas stove lights unassisted. LPAs observed the facility has a three day emergency food and water supply stored in the pantry by the kitchen. No health or safety concerns were observed. LPAs additionally conducted interviews with three staff and five residents.

LPAs advised the AD of the outstanding annual fee balance of $494.50. During the visit, LPAs requested the current liability insurance for the facility. Two staff interviews confirmed that the facility did not currently have liability insurance and that the liability insurance was not renewed when the previous policy expired. Continued on LIC809-C.