Facility Evaluation Report

Unannounced Annual Inspection visit was made by Licensing Program Analyst (LPA) Kimberly Viarella to this facility on 07/30/25. LPA identified herself upon arrival, stated the purpose of the visit, and asked to speak with the Designated Facility Administrator (DFA). LPA met with Designee / House Manager, Belinda Sibal and a brief interview followed. LPA presented the Designee with a list of documents to be collected during the visit:

· LIC 308: Designation of Administrative Responsibility

· LIC 309: (for any LLC or Corp) if applicable

· Copy of the Administrator's Certification

LPA inspected resident rooms. All had the required furniture, furnishings and lighting to be in compliance at the present time.

The LPA inspected the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable.