Facility Evaluation Report

On 4/16/2025 at approximately 10:00 AM, Licensing Program Analysts (LPAs), Angelica Segovia and Jose Gary Tan conducted an unannounced CASE MANAGEMENT-ANNUAL CONTINUATION visit to this facility to continue with the Annual/Required visit initiated on 03/12/2025. LPAs were greeted by the caregiver and stated the reason for their visit. Administrator (AD) James Durando arrived shortly after to assist with today’s visit.

LPAs asked for the census and Staff/Resident Roster. LPAs conducted a physical plant tour at approximately 11:00 AM and the following was noted:

Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Knives/sharps were observed to be kept in a locked kitchen cabinet. Kitchen appliances were observed to be working and in proper condition.

Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed stored in a storage cabinet located within the hallway.

Staff Room: LPAs observed staff room to be clean, neat, and organized. LPAs observed staff room to be free of any toxins or hazards accessible to residents.

Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured within regulations at 105.6 °F. (continued on LIC 809-C)