Facility Evaluation Report

Unannounced Annual visit made out to this facility on 07/20/2026 by Licensing Program Analysts (LPAs) Charlie Yang and Kimberly Kulich who were met by the facility staff person, Michelle Jarin, who was briefly interviewed at this time. These LPAs requested that she go ahead and contact the facility designated Administrator to inform him that CCL was present at this time.

The facility designated Administrator, Ricky Nolasco, arrived later to this facility while the LPAs were conducting this annual visit.

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

It was learned that there weren't any residents deemed to have the diagnosis of dementia at this time. It was learned that this facility does have a dementia program on file at this time.

It was learned that there was (1) resident receiving services through home health at this time.

It was learned that there weren't any residents deemed to be bedridden at this time. This facility does have an approved bedridden fire clearance to be able to accept and retain up to (2) residents at this time.

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

Kitchen area was toured. Cabinets and drawers were reviewed at this time. Drawers storing knives and sharps were reviewed to make sure that they were locked and made inaccessible to the residents at all times. Cabinets storing detergent and all cleaning supplies were reviewed to make sure that they were locked and made inaccessible to the residents at all times.