Facility Evaluation Report

At approximately 9:05AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year visit and met with Executive Director/Administrator, Frank Nola. Facility serves residents with dementia and has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance for 41 non-ambulatory and 6 bedridden residents for a total capacity of 47 residents. Facility has an approved hospice waiver for 8 individuals. Upon arrival, LPA was informed that there were 25 Residents in care and 8 staff members on-site. Facility currently has a Probationary License for 2 years per their Stipulation Waiver and Order, Legal Case #7225086303C, effective 07/15/2026 - 07/15/2028.

Facility's Stipulation Waiver and Order, Legal Case # 7225086303C, effective 07/15/2026, was reviewed with Executive Director/Administrator.

At approximately 10:25AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. LPA conducted a walk-though of the facility with Executive Director/Administrator, and Staff Member, Jolly Carungcong. The following was observed: facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility is a 1 story building with 23 bedrooms, 2 shower rooms, and common spaces. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Toxins and dangerous items were observed to be stored inaccessible to residents. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Mattress pads were in place or available for resident use. A sample size of 6 facility sinks were tested and were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility has a total of five (5) delayed egress doors. All delayed egress doors were tested and operational.

Facility fire extinguishers were last inspected March 2026. Facility's smoke and carbon monoxide detectors are hardwired