Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza a conducted an unannounced required 1 year inspection visit and met with administrator (LIC/ADM) Thelma Llanes. LPA stated the purpose of the visit.

The facility is licensed to serve adults 60 and over, approved for 6 non-ambulatory and waiver for 2 hospice and 1 bedridden. LPA observed 4 residents present at the facility that have neurocognitive disorder, Staff 1 was attending to the needs of the resident.

LPA toured the facility inside and outside with ADM including but not limited to the kitchen, bathroom, dining room, living room, 4 residents rooms, garage, staff room, backyard and exterior walkways. LPA observed that the facility sun room is currently under construction for repairs. The ramp was sturdy and no planks missing, not obstructed by any debris. The outdoor covered patio area has exercise equipment and construction equipment that are no longer in use and not accessible for resident's enjoyment.

The kitchen, dining room, living room and entry way is kept maintained, sanitary and organized. The bathroom/s are equipped with grab bars, non-skid mats. Resident's room have sufficient storage. Knives and sharps were locked and not accessible to residents. Medications are in a locked cabinet. LPA observed 2 days of perishable food,however the 7 day non-perishable food is not sufficient to sustain 4 resident and 2 staff in the event of an emergency. ADM scheduled the food purchasing for 10/18/25.