Facility Evaluation Report

On June 5, 2025 at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility to conduct an unannounced required 1-Year annual visit using the CARE Inspection Tool. LPA announced self and stated the purpose of the visit to Caregiver (CG) Yuriria Rebollar and was granted entry. Administrator (AD) Deana “Chris” Landon was contacted by telephone, arrived at the facility a short time later, and was present throughout the inspection. Administrator certificate for Deana Landon expires on December 27, 2025.

There are five residents on census. Two residents on Hospice and two residents with dementia currently living at the facility. During today’s visit, five residents and six staff are present. LPA obtained copies of pertinent documents for clients and staff, including facility records: residents/staff rosters, Personnel Record (LIC500), resident and staff records.

The facility is a two-story home licensed for 6 non-ambulatory residents and has a Hospice waiver for 5. There are 6 resident bedrooms, 1 caregiver bedroom located upstairs, a living room area, a kitchen, a dining room area, and attached two car garage. There are 7 bathrooms, one located inside each bedroom.

Around 8:45am, LPA conducted a tour of the facility with AD Landon and the following was observed:

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 110.3 degrees F. and 115.7 degrees F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit.