Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit. LPA Rai met with Licensee/Administrator, Dominica Oliva and Joseph Oliva and stated the purpose of today's visit. LPA Rai observed 3 staff and 6 residents at the facility.

During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai 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 Rai observed 1 shed in the backyard used for storage space and not habitual space.

LPA Rai toured the facility to include 5 resident rooms, 2 staff room, living room, dining room, kitchen and garage. 5 Out of 5 resident bedrooms had available bedding, drawers, and functioning lights. The facility bathroom had available soap, paper towels, and trash cans with lids. The hot water temperature in the bathroom and kitchen sink ranged from 110.3 - 110.4 degrees F.

Fire extinguisher was observed and inspected on 05/15/2026. Facility smoke detectors and carbon monoxide detectors were in working condition. The last disaster drill was conducted in November 2025 and Licensee does not have record of disaster drill conducted in 2026.