Pre-licensing visit·August 19, 2025

Licensing Program Analyst (LPA) Abeye Duguma conducted an announced Pre-licensing visit at 10:30 AM and met with Licensee/Administrator, Luis Nunez Jr. LPA conducted an entrance interview with the Administrator. With the assistance of the Administrator, LPA conducted a facility tour of both the inside and outside. The facility was inspected for Fire Safety, Personal Accommodations and Services, Medication Procedures and Food Service. This is a single-story property. Fire Clearance is approved for six (06) non-ambulatory of which one (01) may be bedridden in Room #1. Rooms #2-4 are for non-ambulatory. Facility has four (04) bedrooms for residents and two (02) bathrooms. Resident bathroom has properly installed grab bars and shower has non-skid mats. Hot water temperature measured at 117.3ºF during the visit. All residents’ bedrooms were adequately furnished. The linens were stored in the storage space located in the hallway. Towels and washcloths will not be shared. The common areas were appropriately furnished. The LPA observed entertainment equipment and games for activities. The resident and staff records will be stored in a file cabinet located in the hallway. The first-aid kit is complete. The facility has adequate linen, water, perishable and nonperishable food supplies. LPA observed a fireplace with appropriate screen. LPA inspected the kitchen and observed the stove and refrigerator to be clean and working. Sharps are stored in a locked kitchen drawer. (CONT. on LIC9099-C) The facility has working alarms on all exits. Smoke detectors and Carbon Monoxide detectors were checked and function properly. There is a fully charged fire extinguisher located in the dining area. Fire extinguishers receipts show that fire extinguisher was purchased on 10/10/2024. LPA advised the Administrator to retain the receipt of the fire extinguisher identifying the purchase date to ensure the time frame of annual inspection. LPA Duguma observed a washer and dryer in the garage. All toxins observed to be locked away in a cabinet under the sink. There is sufficient outdoor space with seating and a shaded area with proper furniture for outdoor use. There are no bodies of water on the premises. At the time of this visit the physical plant is meeting Title 22 requirements. The Component III completed with LPA. No health and safety hazard were noted during this visit. Exit interview was conducted and a copy of report was issued.