Facility Evaluation Report

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Administrator (AD) Timothy Ycasas.

For today’s visit, LPA observed a total of one resident in care and one staff member on duty.

LPA observed the Administrator's Certificate for facility Administrator (AD) Timothy Ycasas which expires on January 24, 2026.

LPA toured the interior and exterior portions of the facility with AD Ycasas. The facility is a one story structure and is licensed for six ambulatory residents, of which four can be nonambulatory in bedrooms #3 and #4. The facility has a hospice waiver for two residents and zero bedridden. There are a total of five bedrooms, of which four are resident bedrooms and one staff bedroom. LPA toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detectors and auditory exit alarms were tested and operational. There are a total of two restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested 110.1 degrees Fahrenheit.

Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged and one was located by the kitchen and one by the residents' bedroom hallway. Fire extinguishers were service on November 3, 2025.