Facility Evaluation Report

On 10/03/2025 at approximately 09:30AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct 1-Year Required visit of this licensed Residential Care Facility for The Elderly (RCFE). LPA was greeted by Staff Member, Cynthia Florada. Administrator, Edward Gadia arrived during visit at approximately at 10AM. Facility has an approved fire clearance and capacity for 6 non-ambulatory residents, of which 1 may be bedridden. The facility currently approved for capacity of 6 residents. Facility has an approved hospice waiver for 3 individuals. Upon arrival, LPA was informed that there were 2 residents in care and 2 staff members on-site. Facility is a 1 story building with 6 Resident bedrooms, 2 staff bedrooms, 2 bathrooms, and common spaces.

At approximately 10AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation.

At approximately 10:45AM, LPA and Licensee toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. However, LPA discovered backyard Fire Emergency exit door lock was not working properly. Administrator agrees to repair the exit door lock and submit the proof of correction to the CCL (Technical Violation Given). All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Staff were in the process of cleaning up kitchen at the time of this inspection. Toxins are stored in a locked housekeeping closet. Water temperature measured 111.6 degrees F and 112.8 degrees F which is within regulation between 105- and 120-degrees F at faucets accessible to residents.