Facility Evaluation Report

Licensing Program Analyst (LPA) Melisa Rankin arrived at 9:13 a.m. to conduct a 1-year required annual visit. LPA met with Joanna Enriquez, Administrator. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety: LPA toured 5 resident rooms and observed that rooms were tidy, 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 flooring. The pathways are clear of any obstructions. Facility is well lit inside for safety. Disinfectants and cleaning solutions are inaccessible to residents in care and locked in kitchen closet and housekeeping room. The facility has sufficient space inside and outside for activities and visiting. The facility has telephone and internet service for resident use. The fire extinguishers were last charged and inspected on 10/14/25. The facility has carbon monoxide detectors throughout the facility, and a sprinkler system. Sprinkler system was certified tested on 5/19/25.

Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility is approved for a capacity of 140. The fire clearance is granted for 140 non-ambulatory of which 10 may be bedridden. Hospice waiver approved for 40 residents. The facility currently has 96 residents. There are currently 4 residents on hospice. Certificate of liability expires 10/1/26.