Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Janelyn Kelly, Administrator, and explained purpose of inspection. Also present were staff, Nicolas Martinez, and Licensee, Jhamil Espino. The facility is licensed for (6) residents, (5) of who may be non-ambulatory and (1) may be bedridden. There is (2) residents currently on hospice. All residents were resting in their rooms at the start of the inspection.

LPA and Administrator toured the interior/exterior of the facility including the common areas, (6) private resident rooms, (4) resident bathrooms, kitchen, laundry, and activity area. Staff reside in an adjoining area of the facility, separated by a locked door. LPA observed the facility to be clean, in good repair and odor-free. Bathrooms have the necessary grab bars, non-skid flooring, trash can and hygiene supplies. There is sufficient 2+day perishable and 7+day non-perishable supply of food, as well as an emergency supply of food/water. Perishable food is dated to ensure freshness. Sharps and toxins are locked are in the kitchen. There are sufficient linens/towels/blankets. Inside temperature measured 72*F and hot water measured 120* in the kitchen (temperature controlled by a tankless water heater). Fire extinguisher last serviced 3/20/25. Required postings are in the common area. Outside, there is (1) unlocked exit gate, a fountain, walking trail and covered patio. All doors have exit alarms. There are non-audio cameras in the exterior/interior common areas. The facility has (3) emergency evacuation transport stretchers placed throughout the home.

LPA reviewed (2) resident files and (5) staff files. Files were complete and contained current documentation, including required staff training, maintained in a separate training binder. Medications were reviewed for (1) resident. Orders match medications being administered. All documentation is now maintained electronically.

There are no citations issued . Exit interview. Copy of report provided to Administrator and Licensee.