Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a Post-Licensing Inspection and met with Johngie Somar, Assistant House Manager. Also present was staff, Latroya Latesha and Cecil Smith. The Administrator, Zadel Cabrera, arrived at 12:00 pm and a resident returned at 12:10 pm. The facility is licensed for (6) non-ambulatory residents and has an approved hospice waiver for (2). Currently there are no residents under hospice care. LPA observed lunch being served in the common area.

LPA and others toured the interior and exterior of the facility, including the common areas, (4) private resident bedrooms and (1) shared resident bedroom, staff room, bathrooms, kitchen, laundry and patio. All areas were observed to be clean, in good repair and odor free. There was 2+day perishable and 7+day non-perishable food supply. LPA observed locked toxins, medications and sharps. All doors have working alarms, and the fire extinguisher was last serviced 7/7/25.

LPA reviewed (2) resident files and staff files. All files were organized and contained current/required documentation. Scheduled and on-call staff are completing the required training hours per regulation and have current certification in First Aid/CPR. All exit doors have alarms/alerts that sound.

All required postings are in the common area. LPA to update facility land line and email address as requested. LPA requested an updated copy of liability insurance. LPA discussed annual inspection to be completed by end of the calendar year.

There are no deficiencies cited during today's inspection. Exit interview. Copy of report to be emailed due to technical issues.