Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Managers Melanie and Rolando Del Rosario.

The facility has a licensed capacity of 6 non-ambulatory residents and has a hospice waiver for 4 residents. During today’s visit, the facility did not have any residents and has not had any residents since April 2025. The Administrator for the facility is Lucia Totanes and their certificate was pending payment.

During today’s visit, LPA inspected each room of the facility, including resident rooms, private and common bathrooms, kitchen, garage, common areas, and outside space. No delayed egress or secured perimeter were observed on the premises. LPA observed a non-operational spa located in the backyard that was half-filled with water. LPA observed multiple tools and other hardware present in the facility and Managers stated that they were cleaning and repairing the facility in preparation to accept new residents. LPA observed linens and hygiene products for resident use. The facility’s ambient and water temperature were measured within regulatory requirements at multiple locations. LPA observed unlocked storage for hazardous and/or toxic chemicals, which were stored separately from food supplies. According to Melanie Del Rosario, no firearms or weapons are stored on the premises. The refrigerator and freezer temperatures were kept within requirements. Individuals present at the facility had criminal background clearance. The following LIC9102TV Technical Violation regarding unsecured hazardous items was provided.

An exit interview was conducted with Managers Melanie and Rolando Del Rosario, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).