Facility Evaluation Report

On 09/16/2025, Licensing Program Analyst (LPA) Vado Jaime Vado conducted an unannounced annual required 1 year inspection visit. LPA met with caregiver Leah Slavador and explained the purpose of today's visit. There are currently 3 staff present and 5 residents in care.

This is a single level facility licensed for residents age range of 60 years and over all of which may be non-ambulatory and one bedridden. License is approved for 3 hospice residents. There is 1 resident on hospice as of this visit. The physical plant was toured inside and outside of the facility to ensure the safety of the residents. There are no video cameras on site. LPA observed the facility kitchen which is observed as in good working condition. Knives are stored and locked in a drawer adjacent to the sink. There is a locked cabinet beneath the kitchen sink but no cleaning supplies are present when observed. Perishable and non-perishable food supplies are observed as in place. There is an additional cabinet in the garage which stores additional canned goods and dry goods for resident and staff use. First aid kit is observed as complete with required items stored in the medication cabinet which is observed to be locked. LPA observed at least two fire extinguishers in place which are currently within operating range, combination smoke/carbon monoxide detectors are observed in place through out the facility, and central heating. A carbon monoxide detector in place located in a hallway was tested but it did not work. This is a repeat from the 2024 inspection and poses a potential health and safety risk. The facility had combination carbon monoxide/smoke detectors in place that did work according to staff. PPE is observed to be in place. Emergency exit routes are observed inside and outside to be free and clear of obstructions. LPA made observations of the exterior and observed items stored beneath the raised wooden walkway such as old bed frames, trash bags filled with items, walkers, bed cushion, plastic drawers and shelves. The raised wooden walkway is considered as part of the emergency exit route and a bedframe is observed on this walkway leaned against the wall and there is a hole in one of the boards posing an immediate health and safety risk to staff and residents in care in the event of an emergency.