Facility Evaluation Report

At approximately 12:10PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1-Year Required Visit and met with Staff Members, Elma Cordero and Elijha Cintron. Licensee/Administrator, Silvana Daniel arrived at approximately 12:20PM. Facility serves residents with dementia and has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance and capacity for 8 non-ambulatory residents. Facility has an approved hospice waiver for 6 individuals. Upon arrival, LPA was informed that there were 7 Residents in care and 2 staff members on-site.

At approximately 12:15PM, 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 Licensee/Administrator and observed the following: 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 7 Resident bedrooms, 1 staff bedroom, 4 bathrooms, 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. LPA observed instances of unlabelled or expired foods in facility fridge. 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. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Facility's cleaning supplies and laundry detergent were observed to be accessible during visit in laundry room. It was observed that facility has a cabinet for cleaning supplies but it was unlocked with the key attached during visit. Facility's fire extinguishers was last inspected November 2025. Facility's last emergency/disaster drill was conducted January 2026. Facility's emergency disaster plan was last reviewed and updated on 03/01/2026.

LPA reviewed 2 staff files and 4 resident files. LPA also reviewed resident medication. Staff files had current First Aid/CPR