Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Mariana "Mimi" Musca, caregiver, and stated the reason for the inspection. At the start of the inspection, (5) residents were present. The sixth resident returned at 1:50 pm after attending their day/health care program. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (3). LPA was advised there are currently (0) residents under hospice care.

LPA and Administrator toured the interior/exterior of the facility including the common areas, (6) resident bedrooms with private bath, (2) full bathrooms, kitchen, (3) staff rooms and garage/locked laundry area. LPA observed the facility to be clean, in good repair and odor-free, and the bathrooms to have the necessary grab bars, slip-resistant flooring, and hygiene supplies. There is sufficient 2+day perishable and 7+day non-perishable supply of food. Sharps and medications are locked in a cabinet near the kitchen and toxins are locked in the garage. Hot water temperature measured 114*F in a resident bathroom. Fire extinguisher last serviced 6/24/25, and the smoke/monoxide alarm was tested/working. Inside temperature measured 80*F. There is a First Aid kit on site and sufficient paper/incontinent products. All required postings are visible in the common area. There is a covered patio table outside, (1) unlocked exit and no pools. Updated land line contact obtained as well as an updated copy of LIC500, LIC308 and current liability insurance.

(2) resident files and (5) staff files were reviewed. Files were organized and contained current/complete documentation. Staff has completed the initial/continuing required training and has current First Aid/CPR. The administrator's certificate is pending renewal. The Plan of Operation contains documentation related to updated Dementia care regulations. Medications were reviewed for (1) residents- orders match medications administered and documentation is current. There are no deficiencies observed during today's inspection, and no citations are being issued in this report. Exit interview. Copy of report provided.