Facility Evaluation Report

At approximately 8:50AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1 Year Required Visit and met with Licensee, Juliana Clarin (Melegrito). Facility is a Residential Care Facility for the Elderly (RCFE) and serves residents with Dementia and has a plan of operation for dementia care and programming on file. Facility is a two story building and has an approved fire clearance for 6 non-ambulatory residents and an approved hospice waiver for 3 individuals. Upon arrival, LPA was informed that there were currently 3 residents in care and 1 staff member on-site. LPA was also informed that there were 2 residents on Hospice.

LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. LPA conducted a walk-though of the facility with Licensee. LPA observed the following: Facility is a two story building, where the first floor is designated for residents and the second floor is designated for caregivers/facility staff members only. Facility has a gate at the stairwell to ensure the second floor is inaccessible to residents in care. First floor consists of three (3) resident rooms, two (2) bathrooms, and common spaces. Second floor consists of three (3) staff/caregiver rooms and one (1) bathroom. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for Residents. Mattress pads were in place or available for Resident use. Hot water temperatures for a sample size of 3 sinks were within Title 22 regulations of 105 to 120 degrees Fahrenheit.

Facility fire extinguisher was last inspected April 2026. Smoke and carbon monoxide detectors were tested and operational. Facility's last emergency/disaster drill was conducted May 2026. Facility's emergency disaster plan was last reviewed 2025. Facility was observed to have an adequate supply of emergency water accessible in the event they needed to shelter in place for 72 hours.