Facility Evaluation Report

Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Green Willow Home Care Facility unannounced to conduct the Annual Inspection. LPA knocked on the door and was greeted by Care Staff, Cecilia Plagata and granted entry. LPA introduced self and stated purpose of the visit. Administrator, Arminda Lopez was notified of my arrival by Care Staff, Miguelito Veluz.

LPA was accompanied by Miguelito Veluz and Cecilia Plagate during the tour of the inside and outside, and observed the following:

Facility: The Facility is licensed for six (6) non-ambulatory adults, 1 bedridden and a Hospice Waiver for 6 residents. LPA observed that the facility is operating in the capacity and conditions approved by Community Care Licensing (CCL).

Physical Plant: LPA Farlow observed the facility's temperatures to be maintained comfortable temperature. The facility is comprised of 2 Living Rooms, Dining Rooms, Resident/Staff Rooms, Bathrooms, Kitchen, Backyard and attached garage. Resident Room contained all required furnishings. Restrooms are maintained for staff and residents. Each bathrooms included operable appliances, adequate paper supplies, non-slip grip materials and handrails. Extra supplies of linens, towels, hygiene supplies were located in the bathroom and some in the garage. The facility was sufficiently lit by various lamps and night lights throughout the facility. The facility is equipped with operable fire/smoke alarms, carbon monoxide detectors. Fire Extinguisher was located in the kitchen; and last inspected January 2024. Staff Miguelito, stated the fire department was here in January 2025 and adjusted the mounting of the fire extinguisher on the wall. Licensee will provide proof of service. T he facility's Emergency Disaster Plan, Facility Sketch and Evacuation Plan was reviewed; as it was posted in a prominent place. LPA observed the emergency or disaster plan had not been reviewed and signed since 2/16/2023.

Kitchen/Food Service: LPA observed the food supply; the amount of perishable food is sufficient for number of residents in care. The nonperishable and can good is not sufficient for resident in care. A technical violation issued. LPA's visit was during dinner. LPA witnessed food prepared and stored properly. Sharp objects were secure and inaccessible to residents in care.