Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a post licensing visit and entered the facility at 9:55 a.m. Upon arrival, LPA Mosley was greeted by staff and Administrator. LPA met with Administrator, Carthel Mercado and the reason for the visit was explained. Licensee Representatives Joan Buck-Plassmeyer and Molly Buck arrived during the visit. Entrance interview.

The LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

COMMON AREAS: This includes two (2) living rooms, and a dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 2:53 p.m., hardwire combination of smoke / carbon monoxide detectors and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 03/30/2025. The emergency exiting plans/sketch are posted in every room. The emergency telephone numbers are posted at the entrance. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 08/22/2025 and are conducted quarterly. Activities were observed in the common areas. The fireplace in the living room was adequately screened. There is a functioning telephone on the premises.

INTERVIEWS : Starting at 10:19 a.m. one (1) staff and two (2) resident interviews were conducted. Staff interviews revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interview revealed that no concerns were noted or voiced at the time of the visit. Residents stated they were pleased with the facility. Report Continued on LIC 809-C PAGE 2 ...