Facility Evaluation Report

On 04/16/2026, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Administrator Jenny Castellanos who was informed of the purpose of the visit. The facility has a fire clearance to serve six (6) non-ambulatory elderly residents of which one (1) may be bedridden. The facility also has an approved hospice waiver for four (4) and LPA was informed two (2) residents are currently receiving hospice services at the facility. Castellanos' administrator certificate expires on 06/05/2027. Administrator reported there have not been any changes to the licensee since becoming licensed.

LPA toured the facility with Administrator Castellanos and observed the facility is made up of a one-story home with five (5) resident bedrooms, two (2) bathrooms, a kitchen, dining room, living room, laundry room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility had a two-day supply of perishable foods and seven-day supply of non-perishable food items. Medications are secured in a locked kitchen cabinet. One (1) of the smoke alarms/carbon monoxide detectors was tested and LPA heard it to be operational. LPA also observed a charged fire extinguisher mounted near the kitchen last serviced on 01/28/2026. The facility's certificate of liability insurance expires on 07/01/2026. Resident files reviewed had updated physician's reports and signed admission agreements. Long Term Care Ombudsman's contact information, residents' personal rights, emergency disaster plan, complaint procedures and facility sketch are visibly posted near the front entrance. During today's visit, LPA did not issue any citations. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Castellanos.