Facility Evaluation Report

Licensing Program Analyst (LPA), Debbie Correia, made an unannounced visit to conduct the required One-Year Inspection. LPA Correia was greeted by Caregiver Daisy Garcia, introduced herself and explained the purpose of the visit. The facility is licensed to serve 6 residents aged 60 and above, all six (6) may be non-ambulatory, three (3) bedridden, and four (4) residents who may be on hospice care. Licensee Dermody arrived shortly later to join the visit.

LPA Correia conducted a resident records review to confirm a current Physician's Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement, and personnel records were reviewed for First Aid/CPR certification, Criminal Record Clearance, TB clearance, and Health Screening Report, and required training were present and current.The facility carbon monoxide and smoke alarms were last inspected on October 11, 2024. The facilities last disaster drill was conducted on March 15, 2025.

LPA Correia, accompanied by Licensee Dermody, conducted a facility tour, and inspected resident rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Required postings were observed. Resident bedrooms contained the required furnishings, a private bathroom, resident showers were equipped with non-skid flooring and grab bars. Doors, windows and screens, toilets, and showers were in working order. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were present.