Facility Evaluation Report

On 3/24/26, Licensing Program Analyst (LPA) Cynthia Tamayo arrived at this facility unannounced to conduct a required annual visit. Upon arrival, LPA met with the Administrator, Maxima Martin (S1), and informed them of LPA’s presence. An entrance interview was conducted.

This is a Residential Care Facility for the elderly licensed to serve 6 non-ambulatory age range 60 and over , of which 1 may be bedridden in bedroom 1. Bedrooms 1,2,3,4 have approved egress. The census was 5 residents and 2 care staff.

LPA Tamayo inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA Tamayo observed the facility to be free of odor, clean and in good repair. There are no bodies of water present. LPA observed the the following when touring the physical plant:

KITCHEN : Appliances and fixtures were clean and functional. LPA observed seven day non-perishable and two-day perishable food supplies. Meals are prepared by the Staff. Knives and other sharps are locked inaccessible in a drawer. Kitchen and house cleaning supplies are stored in a locked cabinet. LPA observed a weekly menu to be posted.

COMMON AREAS: Common areas include the Living Room and Dining Room. All furniture was observed to be clean and in good condition, with enough seating for clients in care. There was space to accommodate both indoor and outdoor activities. LPA noted an Activity Calendar in the living room area and activities stored in the in the dining room.