Facility Evaluation Report

On 06/04/2025, Licensing program Analyst (LPA) Jaime Vado conducted an unannounced required - 1 year inspection. LPA met with Administrator Eli Hart Ermitano and explained the purpose of today’s visit. Currently there are 5 residents and 2 staff present. One of which is the administrator.

This is a single level facility with 8 bedrooms, 6 are for residents, and two are for staff. One staff room is located at the top of the garage. The facility is licensed for age 60 and over. All may be non-ambulatory. With a hospice waiver for 4 residents. At this time there is 2 resident under hospice care. LPA Vado toured the facility both inside and outside. All outdoor and indoor passageway are free and clear of obstructions for emergency exit routes in case of fire or emergency. Facility's ambient temperature is comfortable for residents and LPA. No pools or bodies of water were observed during today's visit on the premises. LPA observed fresh food supplies and emergency one week of nonperishable and two (2) days of perishable foods as in place. Dry goods/can goods are stored in a cabinet located in the garage. Knives are locked in a drawer adjacent to kitchen sink. Toxic chemicals/cleaning supplies are also observed to be locked in the garage of the facility and below the kitchen sink. Both the washer and dryer are observed as functional. There is are an additional freezer in the garage for resident food supplies. There is also a full refrigerator for staff in the garage. Medications are observed to be locked in a hallway closet. Each resident room observed contained the required furniture as outlined in regulations. All resident room also have a half bathroom with exception of bedroom 5, which has a full bathroom with a walk in shower. There is an additional full bathroom located near the front of the facility adjacent to the kitchen with a walk in shower and shower chairs. Non-skid flooring is present in both walk in showers. Resident bathrooms are observed as clean and in good worker order.