Facility Evaluation Report

On January 15, 2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Raquel Viernes, RN and explained the purpose of the visit. Joseph Lansana, Administrator arrived later during the visit.

LPA toured the physical plant. This is a 1-story home with 5 bedrooms, 2 and a half bathrooms, a kitchen, living room, dining room, office, utility room, garage, and front and backyards. No accessible bodies of water or hazards were observed. All bedrooms had the required furniture and sufficient lighting. Hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last serviced on 6/19/2025. The facility's first aid kit had all the required items.

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

LPA reviewed 4 resident files and 6 staff files. All were observed to be complete.

LPA received the following documents while at the facility: LIC 500 Personnel Report, LIC 308-Designation of Facility Responsibility, LIC 400-Affidavit of cash resources, Liability Insurance, LIC 200, Administrator's Certificate, LIC 309-Administrative Organization, LIC 610E, current facility sketch.

Licensee will submit the following documents by 1/22/2026: Lease Agreement and Surety Bond