Facility Evaluation Report

On August 7, 2026, at approximately 10:20am, Licensing Program Analyst, Arvin Villanueva (LPA), arrived at this facility unannounced to conduct the annual inspection visit. LPA initially met with staff on duty, Mila Capacete (S1), and stated the purpose of the visit. The admistrator Iheoma Nwangburkuka (AD), was notified and arrived shortly after.

Overview : Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents, up to 6 may be non-ambulatory. Facility does not have clearance for bedridden, delayed egress, and locked exterior/interior. Facility has 2 fire doors.

Upon arrival: LPA observed the room temperature to be at 79 degrees Fahrenheit. Present were 6 residents in care with 1 staff on duty.

Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident units, resident bathrooms, dining room and outdoor areas.

LPA and AD inspected 4 of 5 resident bedrooms and 2 of 3 bathrooms. Hot water temperature was measured in the hallway bathroom was at 98.8 degrees Fahrenheit. Advisory provided to ensure the two fire doors remain closed at all times.

In the kitchen area, LPAs observed at least 7-day nonperishable and 2-day perishable food supplies. Knives/sharps and cleaning solutions were locked. Fire extinguishers observed and last serviced on 9/3/2025. Smoke detectors were observed throughout and at least one carbon monoxide detector was observed. Advisory provided to install additional carbon monoxide in the resident hallways due to the fire doors.

Medication cabinet was observed to be locked and not accessible to residents. During inspection of the medication cabinet, LPA observed a couple of days’ worth of medications pre-poured in a plastic pill case for each residents taking medication. Pre-pouring of medication more than 24 hours in advance is a violation of Title 22 regulations.