Facility Evaluation Report

On 12/9/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Nancy Hernandez, Caregiver and explained the purpose of the visit.

LPA toured the physical plant. This is a 1-story building with 14 bedrooms, 3 bathrooms, a kitchen, dining room, living room, office, and pantry. All bedrooms had the required furniture and sufficient lighting. All bathrooms had anti-slip flooring and grab bars. The facility's fire alarms and Carbon Monoxide Detectors are directly connected to the fire department and were observed to be in working order. The facility's fire extinguisher was observed to be fully charged. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility's first aid kit had the required items.

All sharp objects, soap, poisons, and detergents were observed to be locked and in-accessible to persons in care.

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

LPA reviewed 6 staff files. S1, S2, S3, and S4 were missing TB results. A Type B citation was issued for this deficiency.

In addition, based on document review, Licensee did not have documentation of their latest quarterly emergency drill. A Type B citation was provided for this deficiency.