Facility Evaluation Report

On 02/25/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced Annual Required – 1yr. inspection for this facility and was greeted by administrator/licensee Lilibeth Jacobs. The facility currently provides care for 5 residents, and 3 staff.

Facility is licensed for ages 60 and over. 6 residents may be non-ambulatory and 1 bedridden resident. There are no residents that are bedridden. There is a hospice waiver on file for 3 hospice residents. As of today's visit, there are no residents on hospice. This is a single level facility with 6 resident bedrooms. LPA toured the facility with Lilibeth, and the facility is found to be clean and at a comfortable temperature with all emergency exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas are inspected. LPA observed 2 fire extinguishers located through out the facility. All observed are charged with inspection tags of 11/03/2025. LPA observed the kitchen, garage, and laundry are are found to be in operable condition, organized, and clean. Carbon monoxide detectors are located through out with combination smoke and fire detectors that are hard wired through out. Resident restrooms and full bathrooms are observed at random. Showers are equipped with non-skid flooring or mats and grab bars for accessibility. Water temperature is tested in two resident full bathrooms at 116F and another is measured at 115F. Resident bedrooms are observed to be fully furnished with items outlined in Title 22 and all furniture is in good condition. Linen closets are observed to be fully stocked with supplies for residents.