Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting a case management visit following up on the non-compliance conference that took place on July 30, 2025. LPA was greeted and granted entry after introducing himself and stating the purpose of the visit. Administrator Janine Cuyson was notified via telephone and arrived later to assist with the visit.

During the present visit, LPA accompanied by staff conducted a tour of the physical plant and observed the following: There are currently 4 residents in care along with two staff members present. Lunch was served between 11:00am and 11:30am for all four residents present. Utilities are confirmed to be running, electricity and air conditioning are in operation. Bathroom faucets are verified to dispense hot water at 114F. Food supplies are verified to be present in sufficient quantities. Emergency food and water supplies are present. Cleaning and laundry supplies are present as well. LPA conducted two staff and two resident interviews.

Additionally, LPA requested the following documentation from facility staff:

- Payroll records for August, September, and October, 2025, (to be provided shortly via email)

- Grocery receipts for August, September, and October, 2025 (provided during the visit)

- Utility bills (water, gas and electricity) or August, September, and October, 2025 (provided during the visit),

- Proof of rent payments for August, September, and October, 2025 (to be provided via email).

Based on the observation and records reviewed during the present visit, no deficiencies are being cited during the present visit. An exit interview was conducted and a copy of this report was provided to a facility representative.