Routine inspections were consistently clean, with no deficiencies cited in any reports from August 3, 2021, through August 28, 2025. The facility maintained proper documentation, medication records, infection control practices, and emergency preparedness throughout this period. Rooms, food storage, and safety equipment were found in good condition, and any minor issues such as water temperature were promptly corrected. The most recent inspection on August 28, 2025, was also free of deficiencies, reflecting a stable and well-managed environment. No complaints were reported or investigated during this time.
The inspection visit was an unannounced continuation of an Annual Required inspection initiated on 2025-08-05 to evaluate compliance with licensing requirements.
Findings
No deficiencies were cited during the inspection. Reviews of resident and staff records showed all required documentation and certifications were in place. Medication records were properly maintained, and the last fire/emergency drill was conducted on 2025-05-03.
Report Facts
Capacity: 6Census: 3
Employees Mentioned
Name
Title
Context
Evelyn Bayon
Administrator
Met with during inspection and mentioned in report
An unannounced Annual Required – 1 year inspection visit was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in good condition with no deficiencies cited. The emergency disaster plan and infection control plan were in place, food storage was safe, rooms were furnished and in good repair, water temperature was within the required range, and hazardous items were secured. The annual inspection was not completed and a continuation visit will be conducted later.
Unannounced annual required 1 Year inspection of a licensed senior care facility to evaluate compliance with regulations.
Findings
The facility was found clean, organized, and compliant with regulations including safety, hygiene, and emergency preparedness. No deficiencies were cited during the visit, but updated documentation was requested to be submitted by 10/14/2024.
Report Facts
Facility capacity: 6Census: 5Fire extinguisher last serviced: May 14, 2024Administrator certificate expiration: Oct 5, 2024Document submission deadline: Oct 14, 2024
Employees Mentioned
Name
Title
Context
Evelyn Bayon
Administrator/Director
Facility Administrator present but ill, spoke by phone; named in relation to certification and facility oversight
Erika De La Paz
Care staff
Met with Licensing Program Analyst during inspection
The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be clean, organized, and compliant with regulations including proper water temperature, locked cleaning supplies, adequate food storage, and operational safety equipment. No citations were issued during the inspection.
Report Facts
Residents in care: 4Licensed capacity: 6Hospice waiver residents: 2
Employees Mentioned
Name
Title
Context
Evelyn Bayon
Administrator/Licensee
Met with Licensing Program Analyst during inspection
The inspection was a Required - 1 Year unannounced annual inspection focused on Infection Control procedures and practices at the Residential Care Facility for the Elderly.
Findings
The facility was found to be compliant with infection control practices including COVID-19 precautions, PPE training, and proper food storage. No deficiencies were cited during this inspection.
Report Facts
Residents in care: 5Hospice waiver approved residents: 2PPE supply duration: 30Food supply duration (perishable): 2Food supply duration (non-perishable): 7Fire extinguisher service date: May 16, 2022Record submission due date: Sep 19, 2022
Employees Mentioned
Name
Title
Context
Evelyn Bayon
Administrator/Licensee
Met with Licensing Program Analyst during inspection
The inspection was conducted as a Required 1-Year unannounced inspection to evaluate compliance with licensing regulations.
Findings
The facility was found to be generally compliant with no deficiencies cited. A water temperature issue was identified and corrected on site. Safety equipment and hygiene supplies were adequate, and COVID-19 precautions were in place.
Report Facts
Water temperature measured: 128.3Water temperature corrected to: 110Fire extinguisher last inspected: 2021Perishable food supply: 2Non-perishable food supply: 7
Employees Mentioned
Name
Title
Context
Evelyn Bayon
Administrator
Corrected water temperature on site and participated in inspection
Zaneida Alve
Caregiver
Greeted Licensing Program Analyst and toured facility
Farhaan Sarangi
Licensing Program Analyst
Conducted the Required 1-Year inspection
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