Facility Evaluation Report

On August 20, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregivers, Roberto Gozon and Alain David and LPA explained the purpose of the visit.

LPA toured the facility inside and outside including the bedrooms (2 shared bed rooms), 1 full- bathrooms, kitchen, common areas and 1 staff room and a storage room on the 2nd floor. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathroom is equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 105-106 degrees Fahrenheit..

Central stored medication, toxins and sharps objects were locked and inaccessible to residents.

A review of (3) resident files was conducted and noted on the LIC 858.

A review of (2) staff files was conducted and noted on the LIC 859.

Emergency drills were reviewed and to be adequate.

Food supplies were observed to be adequate.

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last serviced on 10/23/2024.

This report is reviewed and discussed with the caregiver. A copy is provided.