Facility Evaluation Report

At approximately 9:30 AM Licensing Program Analyst (LPA) Stevenson arrived unannounced to conduct an Annual Required inspection and was greeted by staff Aida Aquino; House Manager Patricia Bucal arrived at approximately 9:45 AM

LPA initiated a tour of the facility around 10:00 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperatures measured at 111.3F degrees and 114.1F allowed per regulation. Extra hygiene products and linens were available. Kitchen cabinet containing cleaning supplies and knives were observed to be locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked and a spot check confirmed them to be accurately recorded.

A dark hole in the sheet rock at floor just outside bedroom #2 shower at toilet was observed (picture taken) and house manager observed the deficit and technical violation issued with house manager to ensure the area is repaired.

Interview and observation confirmed activities including day outings, live music, elliptical machine, piano, karaoke, patio deck with both sun and shade available.

Fire extinguisher was last inspected May 2024 and observed to be charged. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational. Most recent fire/disaster drill was conducted January 8th 2025.