Facility Evaluation Report

At 8:00am on 07/11/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with Administrator, Maribel Castillo, announced who he is and the reason for the visit.

Administrator and LPA conducted a physical tour of the facility. LPA noted that this is a 3 bedroom, two bathroom, living room, dining room, laundry room and kitchen. LPA noted there is a very large back yard with gazebo and seating for outdoor activities and visitations. LPA noted that all rooms have linins and furniture meeting regulation standards. LPA noted that both bathrooms are using liquid soap and paper towels and incontinent products are store in bathroom 1. LPA observed at least two days of perishable foods and at least seven days of non perishable foods on hand for six residents and staff. LPA observed a working fire extinguisher primed an in the green in the dining room. LPA observed a complete first aide kit per regulation requirements in the dining room. LPA noted that medications are located in a locked cabinet in the kitchen. LPA noted that wired smoke detectors are located throughout the facility and in proper working condition. LPA noted that the facility is clean and in good repair and all hallways and exits were free and clear of obstructions. LPA reviewed facility Infection Control Plan, Emergency Disaster Plan, Liability Insurance, and Centrally Stored Medication Records. LPA reviewed all staff and client files to be complete. All staff were reviewed to be properly cleared to work in this facility.

Administrator and LPA conducted a full review of the annual care tool modules. LPA noted that there were no violations or citation as a result of the annual care tool modules review. LPA noted that there were no violations or citations as a result of the physical inspection. LPA noted that there are no violations or citation as a result of the full facility annual inspection.

Exit interview, report read, and report provided.