Facility Evaluation Report

On 4/29/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required visit. LPA Calandra was greeted by Linda Arciaga, Administrator/Licensee and explained the purpose of the visit.

LPA toured the physical plant. This is a 1-story building with 4 bedrooms, 2 bathrooms, a kitchen, dining room, living room, staff bedrooms and front and backyards. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility's first aid kit was observed to have all required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature. The facility's fire extinguishers were observed to be fully charged and last checked on October 14, 2025.

All sharp objects, soap, detergents, and poisons were observed to be locked and in-accessible to persons in care.

LPA reviewed 5 resident files and 6 staff files. All were observed to be complete.

All P&I monies were accounted for and matched the records kept at the facility.

A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility.

No deficiencies cited during today's visit.

An exit interview was conducted and a copy of the report was provided to the facility representative.