Facility Evaluation Report

Licensing Program Analyst (LPA) Correia conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Correia identified herself, was granted entry by Assistant Administrator/Caregiver Erlinda Samiano. LPA discussed the purpose of the visit with Assistant Administrator/Caregiver Samiano. Licensee Loida Monton later arrived and joined the visit.

According to the facility’s license, there may be a maximum of six (6) clients all of whom may be ambulatory, of which four (4) may be non-ambulatory in at any given time at the facility site. During today’s inspection, the facility’s current census is four (4) clients. There were two (2) clients present at the facility site during the inspection.

LPA, accompanied by Licensee Monton, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities.

The facility’s ambient internal temperature was comfortable and compliant, at 69 degrees Fahrenheit (F). Hot water temperature at taps used by clients measured between 106.3 and 110.0 degrees F. There was at least 2 days of perishable food, and at least 7 days of non-perishable food present. Cooking/dining equipment and utensils were present, and all safely stored. There were no toxic chemicals/poisons accessible to clients. Medications were properly labeled, as required, and stored in a locked cabinet in the kitchen. The facility maintained Medication Administration Records (MARs) for client medications, that were complete and accurate. The facility’s last disaster drill was on March 2, 2025, and are held monthly.