Facility Evaluation Report

On 9/10/2025 at 12:30PM, Licensing Program Analysts (LPAs) Andrew Christy and James Sampair arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPAs stated the purpose of the visit to Administrator Julieta Basbas. The facility currently houses 5 residents.

The LPAs inspected the interior and exterior of the facility. The inspection of the physical plant included the kitchen, dining area, restrooms, community living spaces, resident rooms, storage areas, 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 dining room was measured at 77 degrees Fahrenheit. Hot water temperature was measured at 105.0 degrees Fahrenheit. The fire extinguisher was replaced 04/23/2025.

The carbon monoxide and smoke detectors were fully operational. The LPAs observed required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The first aid kit was complete.

The LPA reviewed facility records, records of 5 residents, and records of 5 staff members. All records were found to complete. LPA Interviewed 2 residents and 2 staff members. The emergency disaster plan was last reviewed 08/05/2025. Emergency drills were last conducted 09/03/2025. Inspection of medications and the Medication Administration Record found no errors.

No citation was issued during the inspection. Exit interview conducted and a copy of this report provided.