Facility Evaluation Report

On 03/25/2026 Licensing Program Analyst (LPA) Jacqueline Shaw-Ross made an unannounced visit to the facility to conduct an annual inspection. LPA met with Administrator, Carolina Dizon, and the purpose of the visit was explained. The facility serves residents aged 60 and above, 6 ambulatory, of which 6 may be non-ambulatory. A waiver has been granted for hospice care for 3 residents. At the time of visit there were 2 staff present and 5 residents presents.

The facility is single story structure and consists of a garage, backyard with plenty of space to walk and participate in outdoor activities, kitchen, (5) bedrooms and (4) bathrooms. The facility was observed to possess a Solar generator in the event of a power outage. The facility had required postings throughout the home. LPA observed 4 fire extinguishers to be fully charged. The facility was observed to have a sufficient food supply of 2 day of perishable and a 7 day supply of nonperishable food items. Medications, sharps, and cleaning chemicals were locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were tested and operable. Quarterly emergency disaster drills are being conducted as required, last one was in March 2026. During tour, LPA observed door handle on refrigerator door to be broken, Technical Advisory given.

The facility bathrooms are equipped with non skid mats, grab bars and shower chairs. The resident bedrooms were observed to have adequate lighting, clean linen, chest of drawers, and chairs. The hot water temperature was observed to be within regulatory limits measuring at 110 degrees Fahrenheit. The medications are being stored inside a locked cabinet inside the kitchen next to the refrigerator, and were observed to be administered per physicians orders. LPA reviewed staff files and all files were complete. A sample of resident files were reviewed and also contained all required documents. There are no pools or bodies of water or known guns or ammunition on the premises. LPA reviewed first aid kit and it contains required items.

No deficiencies were observed during today's visit. A copy of this report was provided to Administrator Carolina Dizon.