Facility Evaluation Report

On 09/22/2025 at 9:10 AM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct 1-Year Annual-Continuation Required inspection. LPA met with Administrator, Gina Velayo and explained the purpose of the visit.

On 09/19/2025, LPAs toured the facility inside and out including but not limited to 10 residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPAs observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 74 degrees F. The hot water temperature in a sample of residents’ shared bathrooms were measured at 109.8, 94.4, 89.8, 90, and 93.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats and non-skid shower pan.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/07/2025. Emergency Disaster Plan was last posted on 01/20/2025. First aid kit was observed to be complete. Fire drill was last conducted on 05/04/2025.

On 09/19/2025 at 10:28 PM, LPA reviewed 7 residents records. At 11:20 AM, LPAs reviewed 6 staff records. 6 of 6 staff have current first aid training and are associated with the facility. At 3:04 PM, LPAs reviewed 3 samples of residents’ medications.