Facility Evaluation Report

On 07/11/26 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Care Giver, Demtria Ribuca and Helen Jabian, explained reason for visit and was permitted entry into the facility. Administrator, Angela Ramos was contacted and arrived a short time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 5 of 5 residents present during todays visit.1 resident currently receiving hospice services at this time. The facility is a 4 bedroom/2 bath facility.

Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Fire extinguisher last serviced 01/06/26. Last fire drill on conducted on 06/10/26. Resident rooms observed to have the required furnishings and with adequate lighting. LPA observed sufficient seating under covered patio areas.

The following issues were observed during today’s visit: Supplements observed on kitchen table and in refrigerator unsecured. Chemicals observed in garage and laundry room unlocked and accessible. Freezer in garage in need of cleaning. Food observed in garage freezer and pantry in kitchen observed not properly stored or dated. 3 of 5 residents observed with full bed rails without a prescription. Bedroom fan light observed without light bulbs and exposed sockets. Knife and lighter observed in kitchen drawer next to stove unlocked and accessible. Pizza and other food items requiring refrigeration observed in pantry. Bedroom window screen observed torn and in need of repair. ViBack yard gate and side gate listed as a fire exit observed locked and inaccessible. Medication prescribed is not listed on the MARS being used by the facility.