Facility Evaluation Report

At 09:30 am, Licensing Program Analyst (LPA), Huma Rahimi conducted an unannounced annual inspection visit to the above facility and met with the Staff Florencio A. Aguilom. The staff contacted contacted the Licensee and LPA disclosed the reason for the visit. The Licensee arrived at 10:26 AM, to the facility. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following:

KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven, and a sink. Stove was observed in a good working condition. LPA observed adequate supplies of perishable and nonperishable food. All knives and sharps are observed to be locked in a kitchen cabinet and inaccessible to residents. Fire Extinguisher was last purchased on 05/26/2025 and was observed hanging on the wall in the kitchen.

MEDICATION ROOM: LPA observed that the centrally stored medication are kept in the kitchen in a locked cabinet. Residents and staff files will be kept locked in a cabinet in the living room. LPA reviewed the medication and did not observe any discrepancies.

BEDROOMS: There are four (4) bedrooms designated for resident’s use. All bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational. The facility does not have a live-in staff. The facility have an awake staff.