Facility Evaluation Report

On 4/8/2026 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Rogeline Jimenez and explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, garage, activity and living room, and kitchen area. Residents are currently in the day program. Facility is a 3 bedroom facility all of which are shared. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked and inaccessible to residents. First aid kit was complete. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Carbon monoxide, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill will is done every quarter.

Three resident records and two staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs. Staff have current First Aid/CPR certifications on file.

Centrally stored medication was locked. All medication logs are complete and updated.

No deficiencies cited today. Report is reviewed and copy is provided.