Facility Evaluation Report

On 2/24/26, Licensing Program Analysts (LPAs) Kyle Wellington and Jacqueline Shaw-Ross made an unannounced visit to the facility to conduct an annual inspection. LPAs were greeted at the door by the Administrator, Maria Plascencia, who was informed of the purpose of the visit. LPAs observed six (6) staff and thirteen (13) residents present at the facility. The census at the facility is fifteen (15) residents. LPAs received a roster for staff and residents from the Admin. LPAs toured the inside and outside of the facility with the Admin. LPAs conducted an observation, interview and record review at the facility for the inspection.

Facility Overview: The facility is a one story building with nine (9) resident bedrooms, six (6) bathrooms, kitchen, living room, dining room, office, and laundry room. There are no pools, bodies of water or firearms at the facility. The facility has a fire clearance to serve fifteen (15) non-ambulatory residents. The facility has an approved hospice waiver for nine (9) residents.

Infection Control: LPAs observed soap dispensers in the bathrooms and hand sanitizers in the facility. Cleaning supplies were locked in a cabinet in the hall and available for regular facility maintenance. LPAs reviewed the facility’s infection control plan which met the department’s requirements.

Physical Plant: LPAs observed the inside and outside of the facility to be clean, safe and well-kept. The floors, windows and doors were clean and well maintained. The halls were free of obstruction and had night lights. The common areas’ fixtures and furniture were in good repair. The residents’ bedrooms were neat, tidy and had the required bedding, furniture and lighting. Bathrooms were clean, orderly and contained handrails and non-slip mats in the shower. The hot water temperature in the bathroom was measured at 107.2 F.