Facility Evaluation Report

At approximately 8:45 AM, Licensing Program Analyst (LPA) Stefanie Mutialu made an unannounced annual required inspection of this licensed senior care facility. LPA was greeted by caregiver, Gener Reyes L. Administrator, Arvan Davis-Martinez, arrived shortly after at approximately 10:45 AM. The facility is a single story home licensed for six (6) non-ambulatory residents and a hospice waiver capacity of four (4). The facility currently provides care for 6 residents. In addition, all residents have a diagnosis of dementia.

At approximately 9:00 AM, LPA and Caregiver toured the building and grounds which was not found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected.