Facility Evaluation Report

On 03/03/2025 at 1:55 PM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Olive Neri, and explained the purpose of the visit. Administrator certificate is current and expires on 09/18/2025. The facility’s fire clearance was approved for all six (6) non-ambulatory.

LPA toured facility with staff inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. 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 124.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid shower pan. There is a minimum of one week supply of nonperishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 02/20/2025. Emergency Disaster Plan was last posted on 12/17/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/28/2025.

At 3:01 PM, LPA reviewed 6 residents records. At 3:37 PM, LPA reviewed 4 staff records and are associated to the facility. At 4:30 PM, LPA reviewed 3 sample of residents' medications.