Facility Evaluation Report

On 9/20/2023, Licensing Program Analyst (LPA) Janette Romero arrived unannounced at the facility to conduct an annual required visit. LPA was greeted and granted entry by Caregiver, Myrna de Jesus who was informed of the purpose of visit. Licensee Hazel A. Burtado arrived shortly after LPA entered the facility. During the visit, there was two (2) residents and one (1) staff present. LPA was informed that one (1) resident was at day program.

The facility is approved to care for four (4) non-ambulatory and two (2) ambulatory elderly residents. LPA toured the facility's interior and exterior with Licensee Burtado. The facility is made up of four (4) resident bedrooms, two (2) resident bathrooms, a kitchen, dining/living room, staff room and garage. During the visit, LPA observed the following:

Kitchen: LPA toured the kitchen and observed kitchen to be clean. Food is stored in a safe and healthful manner. LPA observed food supply met the requirement for a 2-day supply of perishable food and 7-day of non-perishable food items. Cleaning solutions, chemicals and knives are stored in a kitchen cabinet and secured with master lock.

Dining and Living room: LPA toured the dining and living/family room area. LPA observed area to be clean and furniture in good condition. The facility has board games, activities, and puzzles available for residents. LPA observed both residents in the living room. Fire extinguisher is charged and mounted in the living room.

Hallway : LPA toured the hallway and observed hallway to be clean with no pathway obstruction. Carbon monoxide and smoke detector were tested and functioning properly.