Facility Evaluation Report

On 1/13/2026 at 12:30 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Administrator Leonardo Alcantara.

The LPA toured the facility including but not limited to residents’ rooms, bathrooms, kitchen, common areas and the backyard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the dining room was measured at 72.5 degrees Fahrenheit at 1:15 PM. The maximum hot water temperature was measured at 111.2 degrees Fahrenheit, in the safe range of 105 to 120 degrees Fahrenheit. The residents’ bathrooms are equipped with grab bars and slip-resistant mats. There is more than the minimum of a one-week supply of nonperishable food and 2 days of perishable food.

Centrally stored medications, sharps, and toxic cleaners are inaccessible to residents in care. The LPA observed the 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. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. The fire extinguishers were fully charged and serviced on 12/15/2 025. The Emergency Disaster Plan was reviewed within the past year; the most recent review was on 1/13/2026. Emergency, disaster, and fire drills were conducted on a quarterly basis. The most recent drill was conducted 1/2/2026. First aid kit was observed to be complete. Liability insurance expires on 6/30/2026.