Facility Evaluation Report

On 02/27/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required - 1 year inspection visit. LPA met with the administrator Olivia De Guzman today and explained the purpose of today's visit. Currently there are 2 staff and the administrator present assisting the 6 residents. There are 4 residents eating when LPA arrived to the facility.

This is a two level facility but the upstairs of the facility is a private rental. There is also another private rental in the backyard of the facility in a disconnected smaller home. Facility is licensed for age range 60 and over all of which must be ambulatory. Facility is cleared for 3 hospice residents. 3 residents are on hospice as of today's visit. The facility operates on the ground floor of this address only. 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. Laundry area is in the garage and is fully functional. Knives are locked in the kitchen drawer adjacent to the stove/range. Medications are locked in the island area of the kitchen. Toxic chemicals and cleaning supplies are observed in the hallway closet. PPE are in place as stored in the dining room area in a cabinet and garage. Each resident room is observed to contain the required furniture as outlined in regulations. Facility has functioning smoke detectors and carbon monoxide detectors through out the facility. LPA observed a fire extinguisher in the kitchen and at the end of the hallway as fully charged ready for use.