Facility Evaluation Report

On 8/28/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Bienvenito Tabago, Caregiver and explained the purpose of the visit. Administrator/Licensee, Maria Elena Permito arrived later during the visit.

LPA toured the physical plant. This is a 1-story building with 4 bedrooms, 2 and a half bathrooms, a kitchen, dining room, living room, laundry room, and staff quarters. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in the hallways or outside. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature. The facility's fire extinguisher was observed to be in working order. The facility's first aid kit was observed to have all the required items. The facility's smoke alarms and carbon monoxide detectors were observed to be in working order.

All sharp objects, soap, detergent, medications, and poisons were observed to be locked and in-accessible to persons in care.

LPA reviewed 6 resident files and 5 staff files. All were observed to be complete.

Medications were reviewed and found to match Centrally Stored Medication Records kept at the facility.

During the inspection, LPA Calandra observed during record review that R1 and R2 did not have signed Personal Rights LIC 613 forms in their files. This is a potential health, safety, or personal rights risk to persons in care. A Type B citation was provided for this deficiency.