Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced Required 1 Year visit and met with Interim Administrator (I-ADM) Cynthia Octabiano and stated the purpose of the visit.

The facility serves 5 adults 18 and over with special health care needs who are developmentally disabled and all five may be bedridden. LPA observed 3 staff and 4 residents. LPA observed 4 out of 4 residents are persons with special health needs. 1 Out of 4 is ambulatory, 3 Out of 4 are non-ambulatory.

LPA interviewed I-ADM who stated that ADM Jocelyn Canosa, stepped down as the facility administrator on 09/08/2025. The licensee is in the process of hiring a permanent administrator. I-ADM, has a current administrator certificate.

LPA toured the facility with I-ADM inside and outside. Including but not limited to the kitchen, dining, activity room, 5 resident room, garage, 3 bathroom and exterior perimeter. The exterior perimeter and walkway are free from obstruction/debris. The ramp and back deck are maintained, handrails and ramp is sturdy. Hallways are well lighted and free from obstructions.

LPA observed the kitchen is maintained and organized, food supply for at least 2 days of perishable food and 7 days of nonperishable food, including emergency supply formulas for 7 days. Sharps and medications were locked in secured areas. Cleaning and laundry supplies are in a separate storage and locked under the sink.