Facility Evaluation Report

On November 5, 2025, Licensing Program Analyst(LPA) Murial Han conducted an annual inspection. LPA Han was greeted by caregiver, Orlando Pios and LPA explained the purpose of today's visit. The administrator, Evelyn Ryan arrived shortly thereafter and assisted with the inspection.

Caregiver provided a tour of the facility. This is a 2-story building with 6 bedrooms, 3 bathrooms, a living room, dining room, kitchen, front and back yards, and staff room. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the front and back yards. The facility was kept at a comfortable temperature. The hot water temperature in the kitchen and bathrooms was measured at 108-110 degrees Fahrenheit.

Central stored medication, sharps, chemicals and toxins were observed to be locked and inaccessible to residents. Food supplies were observed to be adequate,

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced 10/9/2024. Fire drill records were reviewed to be adequate.

A review of (2) resident files was conducted and noted on the LIC 858.

A review of (1) staff files was conducted and noted on the LIC 859.

P & I was reviewed for 1 resident to be adequate.

No deficiency is cited today. This report is reviewed and discussed with the administrator.