Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year inspection, at about 10:30am on 3/17/26, and met with Licensee Suzette Tawser. Currently there are five (5) residents in care; Two (2) residents are on hospice care.

Facility is fire cleared for six (6) bedridden residents; All resident rooms may be occupied by bedridden, non-ambulatory and/or ambulatory residents. Facility is approved for six (6) hospice residents' Facility has a required emergency disaster plan. Facility has a required infection control plan. Facility has a dementia plan of operation.

LPA reviewed four five (5) resident files. All files were complete.

LPA reviewed three (3) staff files. All staff have criminal record clearance. All staff have first aid certification and CPR certification. LPA reviewed staff training.

LPA toured the facility with the Licensee. Hot water was measured at 114.4 degrees Fahrenheit. All exits were free and clear of obstruction. Fire extinguishers were serviced and tagged. LPA observed the food supply to be sufficient. Facility was at a comfortable temperature during the inspection. Facility bathrooms had grab bars, and non-slip mats for residents' use. Facility had all medications locked and inaccessible to residents' in care. Facility had cleaners/disinfectants locked up and inaccessible to residents' in care. Sufficient supply of hygiene products, linens, furnishings, personal protective equipment (PPE), and paper products.