Facility Evaluation Report

On 08/26/2024 at 09:24 AM, Licensing Program Analysts (LPAs) Renese Howell-Small, Raquel Hernandez and Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs Howell-Small, Hernandez and Brown met with a staff and was granted entry to the facility. Executive Director (ED) Brittney Martinez was informed of the visit and met with LPAs Howell-Small, Hernandez and Brown. At the time of the visit there were twelve(12) staff present, and thirty-six (36) residents present.

The facility is a fourty-five (45) bedroom, fourty-five bathrooms (45) bathrooms with a kitchen/dining area, living room/activity room. The facility is a Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of sixty (60) non-ambulatory residents and with approved hospice waiver for twelve (12) and the current census is thirty-six (36) residents. LPAs Howell-Small, Hernandez and Brown were accompanied by ED Martinez to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 71 degrees Fahrenheit. LPAs Howell-Small, Hernandez and Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs Howell-Small, Hernandez and Brown observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating combined smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, ombudsman poster, labor laws, and the disaster plan were posted in a common area.