Facility Evaluation Report

On 9/17/2025 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct the required Annual Inspection. Upon arrival, LPA was greeted by the Administrator Rosario Soriano, who granted access to the facility. LPA explained the reason for the visit. LPA Khurshudyan reviewed the required postings on the hallway next to the entrance area and requested staff and residents’ rosters for review.

The inspection tool was used to complete the visit.

At 1:10pm LPA, with the help of the Administrator, began a physical plant tour of the facility and the following was observed: This is a single-story building with five (5) bedrooms, all rooms designated for residents’ use. There are two (2) bathrooms, a kitchen, common areas: living and dining rooms, and an outdoor area. Facility has an approved fire clearance for six (6) Non-ambulatory residents and a Hospice waiver for two (2) residents.

Kitchen: LPA observed a seven-day supply of non-perishable food, and a two-day supply of perishable food properly stored and labeled. No expired food was observed. Facility stores knives and sharps inside the locked kitchen cabinet. Emergency supply of food / water was stored inside the pantry. Food storage and preparation areas are clean and inaccessible to pests. LPA observed one (1) fire extinguisher located in the kitchen wall. The fire extinguisher was last serviced on 9/17/2025. A weekly menu was also available for clients. The second refrigerator was also available in the kitchen for additional food. Dish soap and other chemicals were properly stored and locked inside separate cabinet located adjacent to the bathroom.