Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced case management visit - other to ensure the health and safety of the residents in care. Upon arrival at approx 10:00 a.m., LPA met with staff and explained the reason for the visit. Licensee was contacted and stated they will be at the facility soon. Licensee arrived at approx 11:30 a.m.

At approx 10:02 a.m. LPA conducted physical plant, interviewed staff and. LPA and staff inspected produce that was stored in fridge drawers. LPA observed produce to appear fresh and free of any signs of mold at this time and Leftover food were observed to be properly sealed, and labeled. LPA observed a sufficient supply of perishable and non-perishable food properly stored at this time. Interviews with residents revealed they have been provided with sufficient meals, snacks and assistance from staff since LPA's last visit on 10/22/2025. In addition, residents did not express any concerns at this time. At approx 01:15 p.m. LPA observed residents eating at the dining table. Residents were being served chicken soup and a vegetable soup. At approx. 02:12 p.m. LPA observed staff cleaning the facility. During the visit, Licensee stated they have found a new Administrator and will have all required documents sent to LPA by end of day tomorrow.

During the visit, the LPA did not observe any immediate health or safety concerns.

Exit interview conducted with Licensee and a copy of this report issued.