Facility Evaluation Report

On this day, 8/22/25, at 12:10 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Thomas Roller and Losanta Jaca, and informed the reason for visit. Losanta Jaca called and spoke with Ellen Biyok, administrator (ADM) over the phone. ADM arrived at around 12.45 pm. LPA also met with other staff, Zenaida Alonzo.

LPA started the inspection with Losanta Jaca and continued with ADM. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyard. Facility has sufficient perishable and non-perishable foods. Fire extinguishers were observed fully charge with tags showed serviced September 18, 2024. Facility has carbon monoxide and smoke detectors that were tested and observed functional. Hot water temperature in the common bathroom was tested and measured at 111.5 degrees Fahrenheit. Facility conducts disaster drills and records showed last conducted July 4, 2025. Central storage for medications and cleaning supplies were observed locked.

LPA reviewed 5 staff and 5 residents files, and interviewed 2 residents. P&I money checked and compared with last recorded balance. Medications were inspected and compared with LIC622 Centrally Stored Medication and Destruction Records and doctor's orders on file.