Facility Evaluation Report

On June 25, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced Case Management visit for a Health and Safety check. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Mar Jason Dasco was notified via telephone but could not arrive to assist with the inspection.

On today's visit, LPA observed three residents in care and two care giving staff present. LPA observed residents eating lunch in the dining room which included pasta, chicken, and fruit. LPA observed residents to be in clean clothes. LPA, accompanied by a caregiver staff, conducted a tour of the physical plant. LPA inspected the five resident bedrooms and observed them to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed the lights in each of the resident bedrooms to be operational. LPA inspected the four shared resident bathrooms and observed them to be clean. The water in each of the resident bathrooms were operational. Hot water temperature measured between 105.8 to 107 degrees Fahrenheit.

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

Licensee to provide LPA with copies of any new business loans, bank statements, lease payments/bills paid up to date, and payroll information. CONTINUED ON 809-C