Facility Evaluation Report

Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required visit on this date starting at 10:20am. LPA met with Administrator/Licensee, Evelyn Luciano. The Administrator currently holds a certificate (#6009840740) that expired on 1/7/2022. The facility’s fire clearance was approved for six non-ambulatory residents.

LPA toured the facility with Administrator/Licensee including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 69 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/16/2023. One page of the Emergency Disaster Plan was posted on 5/25/2023. First aid kit was observed to be complete.

LPA reviewed 4 staff files and 4 of 4 staff are associated to the facility but files are incomplete. LPA reviewed 4 residents records which were incomplete.