Facility Evaluation Report

Licensing Program Analyst (LPA) Kevin Mknelly, and 4 department trainers, arrived at the facility unannounced on 3/24/26 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator , Magda Luis, arrived to assist

LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. During the inspection a janitor closet was left unlocked and unattended by house cleaning staff, leaving hazardous chemicals accessible.

LPA reviewed 5 resident and 6 staff files. Files were complete.

LPA was provided the following documents to update the facility file: Copy of current resident roster and certificate of liability insurance.

As a result of this investigation, a deficiency was noted. The following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Exit interview conducted with the Director and copy of report and appeal rights emailed to the facility.