Facility Evaluation Report

Unannounced Annual visit made out to this facility on 06/04/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility caregiver, Ivania "Iva" Lopez, who was briefly interviewed at this time. This LPA requested that she go ahead and contact the facility designated Administrator, Ricky Nolasco, to inform him that CCL was present at this time for an annual visit.

The facility designated Administrator Ricky Nolasco arrived shortly thereafter to this facility while this LPA was conducting the annual visit.

It was learned that there was (1) resident under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (2) residents under the care of hospice at any given time.

It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there was (1) resident diagnosed with dementia at this time.

It was learned that there weren't any residents receiving services through home health at this time.

Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Linen closet, located in facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time.

Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed.

Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured.

Additional food storage units located in the kitchen area were observed to be present and functional at this