Facility Evaluation Report

On 06/04/2026, Licensing Program Analyst (LPA) Jacqueline Shaw-Ross arrived at the facility to conduct the required annual inspection. LPA was greeted at the door by caregiver Araceli Angel and the purpose of the visit was explained. LPA was allowed entry. LPA was advised the Licensee was not available. LPA called the Licensee and he stated he would attempt to arrive as soon as possible.

Facility Overview: The facility is a single story building with 4 residents' bedrooms, 1 staff bedroom, 2 bathrooms, a dining room, a living room, a kitchen, an office, an outdoor area, and a garage. There is no gated pool and there are no firearms on the premises.

Infection Control: 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's requirements.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. LPA observed that sharp knives were unlocked in a cabinet in the kitchen and and were accessible to residents. Citation will be issued. LPA observed that some of the smoke detectors and carbon monoxide detectors worked but not all could be tested due to being out of reach. The fire extinguishers were observe to be operable and fully charged. The water temperature was tested and did not fall within regulations and measured 148.5 F. Citation will be issued.

Due to time constraints, LPA is not able to complete the inspection today and advised staff that LPA will return at a later date. A copy of this report was provided to Caregiver, Araceli Angel.