Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required - 1 year annual inspection. LPA met with Administrator, Mark Castillo.

During visit, LPA toured the facility with ADM to include resident bedrooms, bathrooms, activity rooms, hallways, multi-purpose room, dining room, kitchen, courtyard, exterior, and the construction site where the bathroom and shower remodel is located. Facility has a seating area in the courtyard that is shaded.

Facility temperature maintained at 72 degrees F. Fire extinguisher last serviced on 07/18/2025. Carbon monoxide detectors and fire alarms near the entrance of the facility were tested and observed operable. There were 2 carbon monoxide detectors/fire alarms towards the back of the facility near the maintenance closet that were removed. Maintenance personnel stated to have removed the devices yesterday to replace the battery and will work on replacing the device. All fire exit routes were free and clear of obstruction. The emergency exit door alarms observed operable. LPA entered into resident rooms 101, 209, 115, 106, 300, 202, 227, and 231 with the ADM. All resident bedrooms are equipped with proper furniture, linens, and adequate lighting.

Bathroom hot water temperature near the medication room measured at 125 degrees F. Bathroom hot water temperature next to room 103 measured at 144.5 degrees F. ADM was advised to ensure the hot water is maintained between 105 - 120 degrees F. LPA recommended facility to test and log the hot water temperature.