Facility Evaluation Report

On 04/24/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required 1 year inspection. LPA met with caregiver Emely De La Cruz and explained the purpose of today's visit. Later during the visit the administrator Elizabeth Viducich arrived and met with LPA. Currently there are 5 residents in place and 3 staff, one of which is the administrator.

The facility is licensed for age range 60 and over. All may be bedridden. The facility has a hospice waiver in place for 4 residents. 2 residents are currently on hospice. This is a single level facility. The facility ambient temperature is comfortable. There are 6 resident rooms. All rooms contain a half bathroom. Water temperature is tested in the common hallway full bathroom measuring as 114F. Cleaning supplies are observed to be locked in a hallway closet. Facility knives are observed to be locked in the hallway closet as well. Kitchen food supplies are observed to be in place with 2 day fresh food supply and canned goods fulfilling the 7 day emergency food supply. Canned goods are stored in a large hallway closet. The garage has three additional refrigerators for resident food. Laundry area is observed in the garage as well and is fully operational. Emergency water is stored in the garage as well. A tour of the outside of the facility is conducted. Emergency routes are free and clear of any obstructions. Smoke detectors and carbon monoxide detectors are located through out the facility. The facility is also equipped with 1 fire alarm pull in the front of the facility next to the front door. LPA observed 2 fire extinguishers in the facility with inspection tags dated 04/15/2025. Facility conducts emergency drill quarterly. The last drill that was conducted is logged as March 2025. Linens are in place for resident use stored in a hallway closet.