Facility Evaluation Report

On 01/22/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced Required 1 Year visit and met with Administrator (ADM) Janet Salvador and explained the purpose of today's visit. There are currently 4 residents in the facility and 4 staff present.

The facility is licensed for 60 and over. 6 may be non-ambulatory and 1 may be bedridden in bedroom number 4. Hospice waiver on file for 4 residents. During today's visit there are no residents on hospice and no residents that are bedidden. During today's visit, LPA toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai observed 1 large shed in the backyard which was locked and used for storage belonging to the property owner's that is not used for living space. LPA toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents. LPA toured the facilty to include 4 resident rooms, 1 staff room, living room, dining room, kitchen and garage. 4 out of 4 resident bedrooms had available bedding, drawers, and functioning lights, all of which are listed under Title 22 recommendation. The facility bathroom had available soap, paper towels, and trash cans with lids. Water temperature is tested in two bathrooms, one being the common bathroom in the hallway and another in bedroom 4. Both were tested at 120F which poses an immediate health and safety concern for residents in care.