Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by an individual named "Jess". Caregiver, Arlina Caranay, contacted the Administrator by phone, Onyx Pacheco. The administrator informed LPA that they would arrive at the facility in a few hours and stated they would contact back up administrator, MayAnn Reyes to assist until their arrival. The back up administrator arrived at the facility at 9:25 A.M. and the Administrator arrived at 2:00 P.M. Reason for the visit was explained Entrance interview conducted.

LPA along with back up Administrator conducted a physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. This facility doesn’t have a staff room; facility provides 24/7 care. The following was observed:

Fire extinguishers are fully charged and purchased on 05/05/2025. Hardwired combination smoke detectors and carbon monoxide detectors were tested at 10:08 A.M., and all were functional at the time of the visit. Facility is equipped with two (2) fire doors. At the time of the visit, both fire doors were in operable condition. No fire clearance concerns were observed.

Bedrooms: The facility consists of four (4) bedrooms in total, of which two (2) are private rooms and two (2) are designated for shared resident use. Bedrooms #2 and #3 are designated for single use and bedrooms #1 and #4 are designated for double occupancy. The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.