Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Administrator (ADM) Orlando Ferrer. LPA stated the purpose of the visit. ADM states the facility has 4 residents. LPA observed 4 residents and 3 staff.

LPA toured the interior and exterior of the facility with ADM to include the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. During inspection of the garage, LPA observed an unlocked cabinet with cleaning supplies (Lysol Wipes, Dishwashing Detergent and Laundry Detergent), accessible to residents in care. ADM states the cabinet did not have a loc k. ADM placed a lock on the cabinet door before the end of the inspection. LPA reviewed Title 22 Regulation 80087-Buildings and Grounds. A deficiency was issued, see LIC809-D. All exit and passageways were free and clear of obstruction.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA measured refrigerator temperature at 37 degrees F and Freezer at 0 F. LPA observed knives and additional cleaning supplied to be locked in kitchen cabinets and inaccessible to residents in care.

LPA toured 4 resident rooms, and observed 4 room to have a bed, functioning lights, and space for personal belongings. LPA measured water temperature in 2 resident bathrooms with a range from 105 F to 120 F. Chemicals were also observed under the sink in 2 resident bathrooms. LPA observed multiple holes in the wall in R3's bedroom. ADM states R3 was throwing objects in the room and damaged the walls. ADM states he will repair the holes in the wall by 12/19/2025 and inform CCL when the walls have been repaired.