Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required 1-year Annual Visit. LPA was allowed entry by Caregiver, Shiera Chua. LPA explain the reason for the visit. Administrator, Elizabeth Gautane arrived at the facility during the visit.

According to the facility license, the facility is approved for a maximum capacity of six (6) elderly residents ages 60 and above, all of whom may be non-ambulatory, and has a hospice waiver for one (1) resident. During today’s inspection, four (4) residents were in care, all non-ambulatory. The facility does not have a secured perimeter or delayed-egress doors.

LPA Garcia-Centeno, accompanied by staff, toured the interior and exterior of the facility, including resident bedrooms.

Physical Environment: The facility was found to be clean, maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, was present and in good working condition. The facility's outdoor spaces were properly maintained and accessible to residents.

Staffing and Training: The facility had a sufficient number of qualified staff members to meet the needs of the residents. The staff member was observed to be professional, courteous, and knowledgeable in their respective roles. All staff members had completed the required training and certifications per the licensing regulations. Staffing schedules were posted and adhered to, ensuring adequate coverage at all times.