Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met with Administrator, Marinela Barac. LPA observed (2) residents in the common area and (2) residents in their rooms. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (2). Currently, there are (0) residents on hospice.

LPA and the Administrator toured the interior/exterior of the facility including the common areas, (5) resident bedrooms, (3) resident bathrooms, kitchen, staff room and laundry area. LPA observed the facility to be clean, in good repair and odor-free and the bathrooms to have the necessary grab bars, skid-resistant flooring and hygiene items. There is sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food. Sharps and toxins are locked in the kitchen and medications are locked nearby. Additional toxins are locked in the laundry area. The inside temperature measured 74*F and hot water measured 120*F in a resident bathroom. The fire extinguisher was last serviced 6/24/2025, and the smoke/monoxide alarms are functioning. There are sufficient paper, incontinent and PPE supplies. Required postings are in the common area as well as the current Administrator Certificate #700491740- exp 5/30/26. There is (1) unlocked exterior gate, covered seating and no bodies of water. There is an alert on front exit door and other exit doors. All windows screens are in good repair. LPA reviewed (2) resident files and (2) staff files- files are organized and contain current documentation, including for required staff training. Medications were reviewed for (1) resident- orders match medications being administered. An Addendum will be added to the Admission Agreement to reflect regulation updates. LPA obtained an updated copy of liability insurance. LPA provided a copy of Regulation 87463 and discussed multiple topics.

There are no citations issued in this report. Exit interview. Copy of report provided.