Facility Evaluation Report

On March 4, 2026, Licensing Program Analyst (LPA), Mia Lankford arrived at the facility unannounced to conduct the Annual Inspection and met with the House Manager, Imelda Villar. The facility file review was conducted and additional records were requested and reviewed on site. The facility is licensed for six Elderly Adults and is currently operating at a capacity of two adults.

LPA Lankford toured the facility along with the House Manager, Imelda Villar and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. Additionally, there were bodies of water on the premises with a locked gate around it. The facility isf a single story home.

Physical Plant: LPA Lankford observed the two(2) resident’s bedrooms, and each was furnished with required fixtures as per Title 22. LPA Lankford inspected the facility bathrooms, and the hot water temperature tested within regulations, and logged at 111.4 degrees. The bathrooms were clean, and appliances were operable at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers dated 2/18/26. LPA Lankford observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster in hallway. The cleaning supplies and sharp items were locked and inaccessible to the residents in care. There were designated storage spaces for the residents’ and staff’s files, and the file were locked in a cabinet.

Medications : The medications were locked in the kitchen cabinet. The medication records were maintained and keep with the medications in locked cabinet. There were no documented errors observed on the Medication Administration Record.The LPA observed the pantry to be clean, neat, and organized.