Facility Evaluation Report

On 12/10/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Fe Arnaiz, Co-Administrator and explained the purpose of the visit. Eileen Doyle, Consultant and Zach Pilkerton, Administrator arrived later during the visit.

LPA Calandra toured the physical plant. This is a 1-story building with 25 bedrooms and 21 bathrooms, kitchen, dining room, TV room, Nurses Lounge, Office, Beauty Salon, Patio, and back yard. No accessible bodies of water or hazards were observed. All bedrooms had the required furniture and sufficient lighting. All bathrooms had anti-skid flooring and grab bars. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility was maintained at a comfortable temperature. The facility's smoke alarms and Carbon Monoxide detectors were observed to be functioning properly based on observation of the facility's fire panel. The facility had the required 7 days of non perishables and 2 days of perishables on hand. No food was expired. The facility's first aid kit had the required items.

LPA reviewed 5 resident files and 6 staff files. All were observed to be complete.

During record review, LPA observed that the facility did not have documentation of their latest emergency drill. A Technical Violation was provided for this deficiency.