Facility Evaluation Report

On 04/08/2925 at 10:15AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Marinette Pacis, Care Staff and explained the purpose of the visit. The Administrator, Aileeneth Alcantara arrived at 10:36AM and currently holds an Administrator Certificate #6052019735 that expires on 04/26/2025. Facility has census of one (1). The facility’s fire clearance was approved for four (4) ambulatory residents.

LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of three (3) bedrooms and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. A comfortable temperature is maintained at 70 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 109.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/21/2025. Emergency Disaster Plan was last posted on 03/20/2025. First aid kit was observed to be complete. Fire drill was last conducted on 03/22/2025.