Facility Evaluation Report

At 7:45am on 09/16/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with facility Administrator, Alan Flojo, announced who he is and the reason for the visit,

Administrator and LPA conducted a physical tour of the facility. This facility has eight bedroom, 3 bathroom, kitchen, two main living areas, larger outdoor covered patio with shade from pergola, and three locked storage sheds. There are six single occupancy resident rooms and two bathrooms for resident use. The other two bedrooms and bath room is designated for staff use. LPA tested water temperature throughout the facility and found to be in regulation range of 105*-120*(f).The facility has smoke and carbon monoxide detectors tested and working properly during visit. LAP noted that the facility has working fire extinguisher and it is primed in the green as good. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectants, cleaning solutions and poisons are inaccessible to residents in locked in cabinets. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced side yard and backyard for client use with a pergola for shade. The facility has a telephone and internet service for residents’ use. LPA noted that there are at least 2 days of perishable foods and at least 7 days of nonperishable foods on hand for all residents and staff. LPA noted that the medications are stored and locked in a cabinet in the back hallway. LPA also conducted a staff and resident file review. LPA reviewed the facilities plan of operation that addressed dementia training and bedridden residents. LPA reviewed both the emergency disaster plan and infection control plan to be updated. LPA conducted a full review of the care tools modules. At this time there are no violations or citations as a result of the facility annual inspection. Exit interview, report read, and report provided.