Facility Evaluation Report

At 9:00am, on 6/23/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Lead Staff Mylene Cabello, announced who he was and the reason for the visit.

At 9:05am Lead Staff and LPA conducted a full tour of the facility. This facility is a single story residential home with five resident bedrooms (one is dual occupancy), three and a half bathrooms (one is en-suite to the dual occupancy resident room, two are for public use, and the half bathroom is for staff and located off the laundry room). There is a living room, dining room, and kitchen. A staff bedroom is located off the dining room. Access to the laundry room and garage is through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. LPA noted fresh fruit in the kitchen for residents to enjoy freely. The facility has battery operated smoke detectors in each bedroom and hallway leading to bedrooms that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, purchased on 2/28/2026. LPA tested facility hot water at 111.4°F, within regulation temperatures 105-120°F. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility has no obstructions in hallways, doorways or exits. Medications, staff and resident files are locked in a cabinet in the dining room. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records. LPA conducted a staff and resident file review.

LPA and Lead Staff conducted a review of the annual care tool modules. There were no deficiencies cited at this time.

Exit interview conducted, report signed, and report provided to the Lead Staff.