Facility Evaluation Report

Unannounced Annual visit made out to this facility on 12/30/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated representative, Victoria Clare Wood, at this time. A brief interview was conducted with the facility designated representative at this time.

This LPA requested that the facility designated representative go ahead and contact the facility designated Administrator, Francine Conti, to inform her that CCL was present at this time. It was learned that the facility designated Administrator was out of town and would not be able to be present for today's annual visit.

It was learned that this facility was vendorized to be able to accept and retain up to (4) Level 3 residents at any given time.

This facility is licensed to serve up to (4) Ambulatory only residents at any given time.

Current census was 4 residents, of which all (4), were out at their day programs during this visit.

A tour of the facility kitchen area was conducted. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time.

Cleaning agents, bleach, and other supplies were observed to be locked and made inaccessible to the residents at this time.

A review of the facility food supply, located in the pantry area, was conducted. A review of the facility's 2-day perishable foods and 7-day nonperishable foods was conducted to make sure that there were sufficient quantities on hand at all times.

Medication cabinet, located in the hallway closet, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility designated Administrator at this time. A review of the facility Medication Administration Record and dispensing log was conducted.