Facility Evaluation Report

At 9:45 AM, Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the staff #1 (S1) Cirila De La Cruz and staff #2 (S2) Emmanuel Lima and the Administrator Florence Perigrino was contacted via a telephone. LPA explained the reason for the visit. The Administrator informed LPA that they are unable to come to the facility; however, designated the staff to conducted today's visit. The physical tour was conducted with the staff and LPA observed the following:

KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven, sink. Stove was observed in a good working condition. LPA observed adequate supplies of nonperishable food and dining ware to accommodate a maximum capacity of six (6). All knives and sharps were observed to be unlocked in a kitchen cabinet and accessible to residents. LPA was informed that all sharps are kept unlocked all the times and the staff was never told to keep the knives locked. LPA also observed cleaning supplies, a screw driver, and a hammer unlocked in the kitchen cabinet and accessible to residents in care. A Fire Extinguisher was last purchased hanging on the wall in the by between the kitchen and laundry area. It was purchased on 10/04/2025.

Medication: The medications for staff and residents were observed in the kitchen drawer and cabinet and LPA observed that staff and residents medications are unlocked and accessible to residents in care. The staff informed LPA that the medications always remain unlocked. LPA observed medications in the staff room and the staff room was observed unlocked and accessible to residents in care. More medications were observed unlocked in bedroom #3. Continue on LIC809-C