Facility Evaluation Report

On September 19, 2025 Licensing Program Analysts (LPA's) Edith Conchas and Lavette Farlow conducted an unannounced visit to the facility to initiate a Case Management visit Health & Safety check.

LPAs identified themselves and discussed the purpose of the visit with Licensee Caroline Armstrong.

LPAs interviewed, reviewed and observed two (2) staff and one (1) resident. Residents in care were present during visit.

An imminent health and/or safety concerns were observed at the time of visit. LPA observed medications in a small plastic storage container accessible to clients and an additional unlabeled loose pill in another clear opened glass container. A citation was cited.

LPAs observed some health and/or safety hazards inside the facility. Upon a tour visit conducted by licensee, LPA observed the licensee had expired non-perishable items such as soup, cereal and rice inside the kitchen pantry. Licensee removed some of the items, A citation was cited.

LPAs also observed a hole inside the facility hallway wall adjacent to the entrance to the garage door. A citation was cited.

LPAs observed the facility to have sufficient staff present at the facility to provide care which the needs of the residents in care appear to be met during this inspection.

An exit interview was conducted and a copy of this report (LIC809, LIC 809-D, LIC809-D and appeal rights) was discussed and provided to Caregiver, Danica Joy-Reyes.