Facility Evaluation Report

Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted unannounced case management Annual Continuation visit to the facility. LPA met with ED and explained the reason for the visit. LPA informed ED that this visit was conducted to complete Required 1 year inspection initiated on 02/10/2025.

During this visit at 1:45p.m., LPA and ED toured the physical plant areas inside and outside to ensure there are no health and safety hazards in the facility. LPA was informed of several active cases of COVID-19 in the facility. At approximately 2:25p.m. LPA reviewed seven (07) out of seventy-five (75) residents records and they were complete at the time of this visit. LPA reviewed five (05) staff files and they had criminal record clearance and Cardiopulmonary Resuscitation (CPR) certificate at the time of this visit. All required documents were appropriately signed and dated.

Exit interview was conducted. A copy of this report was provided to the Executive Director.