Facility Evaluation Report

Licensing Program Analyst (LPA) Mia Lankford, Armando Perez LPA and Toni Nwala LPA conducted an unannounced annual required visit. Upon entry, LPA was greeted by Analisa Cayabyab Administrator and explain the of the purpose of the visit. At the time of the visit, there were three (3) staff members and three (3) residents present.

The facility is a one-story home with three (3) bedrooms and two (2) bathrooms, including an attached garage. There are no pools or known firearms on the premises.

LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements.

The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 105°F. Fire extinguisher located at dining area has current inspection date 8/25/2025.