Facility Evaluation Report

Licensing Program Analyst (LPA) E. Conchas. conducted an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Letitia Isai and was granted entry to the facility. At the time of the visit, there were two (2) staff present and zero (0) residents present.

The facility is a four (4) bedroom, two (2) bathroom home with a kitchen/dining area, living room, and family room. The facility is licensed for a capacity of four (4) non-ambulatory residents and two (2) hospice care waiver residents. LPA was accompanied by staff to conduct an overall inspection.

The facility is currently not operating at the capacity approved by the Community Care Licensing Division (CCLD). The facility was maintained at a comfortable temperature of 76 degrees Fahrenheit. LPA inspected the resident bedrooms, most of which were equipped with the required furniture and furnishings. One bedroom contained a stained/soiled mattress, and another bedroom had a broken dresser. The resident designated restroom was missing a toilet tank cover. LPA observed sufficient furniture and lighting throughout the facility. Water temperature in the bathroom measured 115.7 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. A fire extinguisher was observed on-site. Required postings, including Personal Rights, the CCLD Complaint Poster, and the facility’s fire clearance map, were posted in a common area. Liability insurance was observed to be valid through July 2026.