Facility Evaluation Report

On 10/01/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA was greeted and granted entry by Destiny Quijada, Activities Director, where LPA explained the purpose of the visit. The facility has an approved fire clearance for ten (10) residents that are bedridden with an approved hospice waiver for (15). The administrator was not at the facility at the time the inspection was conducted. Below are the observations made during today's visit:

The facility was observed to be clean, with the passageways being from of obstructions. The food supply was sufficient as there was a 2 day supply of perishable food items and a 7 day supply of non perishable food items. The chemicals, and other hazardous items were observed to be locked and inaccessible to residents in care. The resident bedrooms were observed to have the required furniture such as bed, chair, chest of drawers,night stands and light. The bathrooms were observed to have grab bars, with pull cords and the signal system was tested and observed to be operable, in addition residents are provided with pendants . The hot water temperature was tested in randomly selected resident bathrooms and found to be within regulatory limits of 113.8 degrees Fahrenheit.

The medications are stored in a locked medication room inside medication carts. The fire extinguishers were last serviced 05/18/25. The last emergency disaster drill was conducted on 09/15/25. There are no known guns or ammunition on the premises. There are no pools or bodies of water observed at the facility.

The facility annual fees were observed to have been paid. The facility is in possession of valid liability insurance that expires on 04/20/26, and the governing body was observed to be in good standing.