Facility Evaluation Report

On 6/11/25, Licensing Program Analysts (LPAs) Dominic Tobola, Yi Sam Jian and Licensing Program Manager (LPM) April Cowan met with Licensee, William Encarnacion and Administrator, Anna Aoay. During the meeting, LPM, Cowan and LPAs, Jian & Tobola went over and elaborated each item of the Stipulation and Waiver; And Order (“Stipulation”) that was effective on April 22, 2025. During the meeting, LPM elaborated on the stipulation order regarding the facility's license revocation, exclusion and administrator certificate revocation which have been stayed with probation from April 22, 2025 to April 22, 2028 pursuant to the following conditions:

A. Respondent must strictly comply with all laws and regulations governing Residential Care Facilities for the Elderly (RCFEs).

B. The Department may conduct unannounced inspections during probation to ensure full regulatory compliance.

C. All individuals at the facility must have verified criminal clearances or exemptions before their presence and maintain proof on-site.

D. Respondents must monitor everyone at the facility to ensure no one is under the influence of illicit drugs.

E. Residents must be reappraised within seven days following any unusual incident or hospitalization.

F. Staff must receive monthly Title 22 training, with attendance records kept and make-up sessions required within seven days unless otherwise approved.

G. Unusual incidents must be reported to Licensing by the next working day with a written report submitted within seven days.