Facility Evaluation Report

Licensing Program Analysts (LPAs) Jose Tan and Michael Cava conducted an unannounced Required One (1) year inspection to this facility. LPAs met with Administrator Monique Lopez and explained the purpose of the visit. At 9:55 AM LPAs conducted a tour of the facility inside and out with the Administrator. The following were observed:

There is one main entrance being utilized at the facility. Screening area is located in the reception area. Sign in log book, hand sanitizer and masks are available. The facility had submitted and approved Mitigation Plan and Infection Control Plan. The facility has a designated visitor's area in the front of the main building. The facility has sufficient stock of PPE in the storage room

The facility is a two (2) storey building and a basement. The facility is fire cleared for 128 ambulatory residents, sixty (60) of which maybe non-ambulatory. Hospice waiver for twenty five (25) residents. The basement has the Kitchen, Cafeteria, Activity room, Laundry Area, Staff break room and Storage rooms. There are sixty four (64) shared bedrooms with own bathroom and eight (8) public bathrooms. There were two (2) shaded smoking area in the surrounding backyard equipped with outdoor furniture. There is no body of water in the facility.

Common Areas: The facility has two (2) elevators, both of which are working properly. The facility maintains a comfortable temperature at 75°F. The facility's smoke alarms are hard wired and interconnected and back up and tests are done in house on 04/03/24 and valid until 08/31/26 The facility is equipped with sprinkler system which was last tested on 04/20/24 and valid until 04/30/26. Fire extinguishers are located all throughout the facility and were last serviced on 10/14/25. Fire Drill was last conducted on 12/18/25.