Facility Evaluation Report

On July 16, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. House Manager (HM) Luisa Cruz was present and assisted LPA on today's inspection. LPA observed that Administrator (AD) Anna Mallari has a valid Administrator certificate which expires on December 26, 2025.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for one. The facility is a single story home with five resident bedrooms, one of which is shared, one staff bedroom, three shared resident bathrooms, a living room, a dining room, a kitchen, a laundry room, a atrium, and an attached two car garage. LPA, accompanied by the HM, conducted a tour of the interior portions of the facility. On today's visit, LPA observed six resident in care and two staff present. LPA observed residents preparing to departure for their respective Day Programs. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall in the dining room. LPA inspected all five resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the three shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 111.3 and 111.5 degrees Fahrenheit. LPA observed the staff bedroom to be kept locked and inaccessible to residents in care.