Facility Evaluation Report

On 3/4/2024 at 10:30 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the Required Annual Inspection of the facility. Upon arrival, LPA stated the purpose of the visit to Caregivers Evangeline Polito and Justo Garcia. Licensee Rosa Junsay arrived at approximately 11:15 AM.

LPA toured the interior and exterior of the facility. LPA inspected the kitchen, dining area, restrooms, community living spaces, bathrooms, resident rooms, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. Temperature in the living room was measured at 68.7 degrees Fahrenheit at 11:57 AM. Fire extinguisher was fully charged and last serviced on 12/6/2023. Carbon monoxide and smoke detectors were fully operational. The LPA observed postings in the facility that included a complaint poster, Ombudsman and Personal Rights posters, Theft and Loss Policy, Rights to Resident Council, and Rights to Family Council.

An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The LPA reviewed facility records, records of 5 staff members, and records of 5 residents. The LPA interviewed 2 staff members and 2 residents.

Exit interview conducted with Licensee. A copy of this report provided to the Licensee via email.