Facility Evaluation Report

Licensing Program Analysts (LPA's) Sarah Hurt and Shawna Doucette conducted an unannounced visit today for the facility’s annual inspection. LPA met with facility staff, Matthew Magsambol, and Sarah Magsambol, Continual Administrator's Certification for Licensee Rosario Magsambol expires 06/20/2027. There are currently 3 residents who reside at this home and there is 0 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, garage and outdoor areas. There is a locked storage for medications.

Fire extinguisher is within the safety regulation period. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 107 degrees.

LPA's observed the facility vent in hallway resident bathroom is dirty and falling off the ceiling. LPA observed the back sliding window screen with tears, and not in good repair. LPA observed the back side patio had multiple dog feces on the ground. LPA stepped in dog feces while touring the facility backyard. LPA observed the back patio had trash and furniture broken bedroom furniture. LPA observed the back patio had no shaded area for residents. LPA observed the facility back resident bedroom faucet in disrepair, and front hallway resident bathroom sink does not drain properly. LPA observed resident bedroom dresser furniture in disrepair. First Aid kit is on site and only missing the antiseptic solution.