Facility Evaluation Report

On 07/08/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint visit and deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Staff Teopista “Faye” Garcia Gasapos. Administrator Rosemarie Riemer and Licensee Rosario Ramos was called and arrived later during visit. Two resident present during visit. Two residents arrived later during inspection.

LPA toured facility with L1 and A1. All residents and sample of staff files were reviewed. Residents were observed in their bedrooms. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Audio recording surveillance cameras were observed throughout the common areas. Emergency drills last completed on 06/30/26. Fire extinguisher was observed with a serviced date of 04/2026. Medications were observed kept locked in hall closet. Residents’ MARS was reviewed and medications were checked. 7 day supply of nonperishable and 2 day perishable food was observed. Freezer temperature maintained at 0 degrees F.

Cleaning chemicals were observed locked under kitchen sink. Knives observed locked in the kitchen drawer. Nonperishable food and snacks observed locked in the garage. Expired nonperishable food was observed in the garage. Extra linens and bedding observed in hall closet. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. Bathroom was toured and observed functionally. Non-skid mats and grabbed bars were observed in bathrooms.Hot water temperature was tested range between 107.9 degree F in hall bathroom and 107.5 degree F in master bathroom.