Facility Evaluation Report

On May 6, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Jose Acumabig and explained the purpose of the visit.

LPA toured the facility inside and outside including but not limited to; a random sample of resident rooms, communal bathrooms, activity room, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a three story facility. LPA toured main dining room and kitchen on the first floor. LPA observed 2 days perishables and 7 days non-perishables. LPA observed medication room on the first floor to be locked and inaccessible to residents. Communal bathrooms on the first floor were clean and in good repair. Communal areas and activity rooms were observed clean and free from tripping hazards. All resident rooms have a full bathroom. According to the administrator, residents bring their own furniture and linens. There is a laundry room on each floor, no chemicals were observed.

Chemicals, medications, and sharps were locked and inaccessible to residents. Hot water temperature throughout the facility was within regulatory requirements. Carbon monoxide detectors are working properly. All fire extinguishers were observed to be charged. Emergency drills are logged and done quarterly. Temperature throughout the facility is comfortable and lighting is sufficient for comfort.

LPA reviewed 5 resident records and 5 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

No citations are issued during this visit. Report is reviewed with the administrator and a copy is provided.