Facility Evaluation Report

On April 22, 2026 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Renato Pera and explained the purpose of the visit. The administrator arrived and assisted with the rest of the inspection.

LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, garage, side yard and backyard. The facility has 5 resident rooms (one shared room) and 1 staff room. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Lamp and lights were present in all rooms and hallways. Toilet, hand washing and bathing areas were observed clean and in operating condition. Bathroom/Shower rooms were observed equipped with non-skid mats and grab bars except for the bathroom/shower room in room 4 did not have a non-skid mat. Central storage for medications was locked. LPA observed the faucets in the kitchen and bathroom in room number 4 were disrepair/ loose.

Hot water temperature in the kitchen and bathroom were measured at 125- 138 degrees Fahrenheit. Fire extinguisher checked and last inspected on October 10, 2025.

Sharps, chemical and toxins were observed to be locked and inaccessible to residents in care.

Emergency drill records were reviewed to be adequate.

A review of (5) resident files was conducted and noted on the LIC 858.

A review of (2) staff files was conducted and noted on the LIC 859.