Facility Evaluation Report

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to the facility on 2/6/2026 at 9:45 am to conduct an annual inspection. LPA met with administrator Arlyn De La Cruz and explained the purpose of the visit.

2 clients have restricted conditions, both are diabetic one has additionally O2 administration. Arlyns guest home is an RCFE for the elderly/developmentaly disabled + dementia with a capacity of 6 nonambulatory and 2 hospice and a current census of 3 nonamb, 0 hospice. Exception paperwork will be filled out for the O2 administration.

Physical inspection included but was not limited to:

Kitchen,bedrooms, bathrooms, common areas, storage areas, the exteriors, and the evacuation route. facility is clean, traffic areas are unobstructed and well lit.

Kitchen has food storage for 2 days perishable and 7 days non perishable for 3 clients. LPA gave guidance to put "Staff" of staff foods. there is lockable storage for the medication, Per administrator, VMRC has said not to lock the cleaning matierials and knives. LPA gave guideance that knives and cleadning chemicals should be in lockable storage when outside of supervised use.

Bedrooms have required furniture and furnishings, including materess encasements, there exists duplicate linens.

common areas and exteriors are free of trip hazzards and furnishings are in good repair,

evacuation route gate swings freely and latches closed, on one side on the building. a secondary gate does drag into the concrete. LPA gave guidance to monitor the situation.