Facility Evaluation Report

On 11/04/2025 at 8:30AM, Licensing Program Analyst (LPA) Andrew Christy conducted an unannounced 1-Year required inspection. LPA met with caregivers Sinelita Rivera and Teojenes Rivera and explained the purpose of the visit. Administrator Assistant Laly Bascao arrived 9:30AM. The facility is currently at max capacity with six (6) residents.

LPA toured the facility including, but not limited to, bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of eight (8) bedrooms and two (2) bathrooms. One (1) bedroom in the house and one (1) in the garage is occupied by staff. LPA did not observe any bodies of water. A comfortable temperature is maintained at 71.0 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 112.6 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 detectors are operational. Fire extinguisher was last purchased 10/01/2025. First aid kit was observed to be complete.

LPA reviewed the files for five (5) residents and five (5) staff members, all found to be complete. Emergency Disaster Plan was last reviewed 11/01/2025. Quarterly emergency drills were last conducted 10/09/2025. Review of residents' medications and Medication Administration Record (MAR) showed no outstanding errors.