Facility Evaluation Report

On 6/04/2026 at 09:05 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Assistant Administrator (AA) Janeth Gonzalez and was granted entry to the facility.

The facility is a thirty two (32) bedrooms with thirty two (32) bathroom facility with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of sixty four (64) non-ambulatory and seventeen (17) hospice care and the current census is fifty four (54) residents. LPA was accompanied by AA to conduct a general overall inspection, which included, but was not limited to the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 76 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathroom to be at 111 degrees F at Room #20 113.3 degrees F at room#3 and 109 degrees F at room #18 . The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire alarms was serviced by TRL system on 5/30/2026. Seven (7) fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, labor laws, and the disaster plan were posted in a common area. L PA observed that the emergency phone numbers are not posted in a location visible for both staff and resident. Technical violation issued.