Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Co-Administrator (CA) Julieta Santiago and explained the reason for the visit. Michael Milo's Administrator's Certificate expires on September 6, 2025. Facility is licensed for 6 non-ambulatory residents with a hospice waiver for 2 residents. No residents are currently on hospice. LPA and the Co-Administrator toured the facility. Facility is a single story home with 6 bedrooms, 1 staff room, 4 bathrooms, living room with a screened fireplace, family room with a screened fireplace, dining room, kitchen and a 2 car garage. LPA observed the See Something, Say Something poster (PUB 475) posted next to the front door in the living room. The living room has a couch and two chairs. LPA observed games and books stored in the living room. There is a large fish tank in the living room. The CA reported that the fireplaces are never used. LPA observed all six resident rooms had the required linens and furnishings. LPA observed a two day perishable and a seven day non-perishable food supply on hand in the kitchen. Knives are kept locked in a tool box in the kitchen. LPA observed the fire extinguisher in the kitchen is fully charged. LPA observed all bathrooms are clean and operational. Hot water measured 108.1 degrees Fahrenheit in all bathrooms. LPA observed clean linens stored in the hall pantry LPA and CA toured the garage. The garage is kept locked and used for storage. Smoke detectors/carbon monoxide detectors tested operational. The last fire drill was conducted on July 31, 2025. LPA and CA toured the backyard. There is a fountain in the backyard. The backyard has a covered patio with chairs to sit outside. The exit gate is operational. No obstacles or hazards observed in the backyard. LPA reviewed 4 resident files and medication. Resident 4 (R4) had no current reappraisal/needs and care plan. No other discrepancies observed. LPA reviewed two staff files, both staff members are background cleared and associated to the facility. Staff 2 (S2) did not have 4 hours of training specific to postural supports, hospice and restricted health conditions.