Facility Evaluation Report

On 06/30/2025, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced annual inspection. LPA met with staff Michelle Perez, LPA explained the purpose of the visit. Administrator, Arlene Gomez, was contact over the phone. The Administrator gave permission to staff Michelle Perez to sign required report.

LPA conducted a tour of the facility. Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Infection control practices reviewed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has at least one completed first aid kit. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed.

No deficiencies were cited. Four technical violations were noted for incomplete documentation for the quarterly emergency drill, incomplete documentation for Records of resident's cash resources, incomplete documentation for reappraisal, and insufficient provision for emergency drinking water. The report was reviewed and discussed with staff. A copy of the report was left at the facility.