Facility Evaluation Report

At approximately 12:15 PM Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to CONTINUE a Required - 1 Year inspection and met with caregiver Jyd Leong, who called Administrator Kristine Bernadino. At approximately 12:45 PM House Manager Mary Grace Defeo arrived to help with today's continued inspection.

At approximately 12:45 PM LPA reviewed five (5) staff files and 5 of 5 had all required documentation including health screening/evidence of neg TB test, current 1st aid/CPR, background clearance and Guardian association to facility. At approximately 1:15 PM LPA reviewed five (5) of 5 resident files and observed all 5 to have the required documentation.

At approximately 1:35 PM LPA observed medicines to be centrally stored and locked. Licensee is reminded to ensure that caregivers trained to pass medicines document the date and time of when medicines are given at the time of administration.

LPA reviewed records and determined the last fire/disaster/evacuation drill was performed on 10/03/2025.

LPA obtained the following documents for the facility file today including:

LIC 308 Designation of Facility Responsibility (3)