Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with staff, Martha Szatmari and Fnu Jahanvi. Administrator, Juan Ramirez, arrived around 11:00 am. LPA observed (2) residents in the common area and (3) residents in their rooms. The facility is licensed for (3) bedridden residents, (3) non-ambulatory residents and for (6) hospice residents. Currently, there are (2) residents on hospice. A hospice nurse arrived at the end of the inspection.

LPA and caregiver toured the interior/exterior of the facility, including the common areas, (2) shared resident rooms, (2) private resident rooms and staff room. LPA observed it to be clean, in good repair and odor free.

All bathrooms have the necessary grab bars, skid-resistant flooring, trash cans and hygiene products. There is sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food. Sharps and toxins are locked in the kitchen and additional toxins are secured in the laundry area. Medications are secured in the office. There are sufficient towels/blankets/linens on hand and a complete First Aid Kit. Inside temperature was 75*F, and hot water measured 108*F in the kitchen. Smoke/monoxide alarms are working and the fire extinguisher was last serviced on 11/25/25. Exit doors have auditory alerts, and there are no blockages to any doors. There is a back yard walking path, one unlocked exit gate, and covered seating. Required postings are in the common area. Annual fees due by May 3, 2026. Multiple topics discussed.

LPA reviewed (3) resident and (4) staff files. Files were organized and contained the required documentation. Staff is completing ongoing required annual training, has current First Aid/CPR certifications and is cleared/associated. Medications were reviewed for (2) residents. Orders match medications being administered; there is an electronic medication record system. LPA obtained updated land line contact, and requested current insurance policy, LIC308 and LIC500 be provided by 3/27/26. There is (1) deficiency issued on the 809-D page. Exit interview. Copy of report and appeal rights provided.