Facility Evaluation Report

At approximately 8:45 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Caregiver (CG) Nelva Ramirez. Administrator Brisa Junco arrived at 12:15 PM. Green House East RCFE is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a two (2) story ranch house with a staff apartment above the garage. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for three (3) residents. Upon arrival, LPA was informed that there were five (5) residents in care and one (1) staff member on-site. One (1) additional staff member arrived at 8:50 AM. At approximately 9:05 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation.

At approximately 9:10 AM, LPA toured the facility with CG Cinthia Junco. All exits were clear and unobstructed. The facility's two (2) fire extinguishers were last serviced and tagged on 3/19/2025. Fire Department inspected the facility on 6/3/2025 and found no violations. The facility was sufficiently lighted. LPA inspected three (3) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility per regulation, should be conducting fire and emergency drills quarterly. LPA observed that there have only been two (2) fire and emergency drills in 2025 on 1/3/2025 and 5/24/2025. This deficiency will be cited. During the inspection LPA observed medications for residents in distribution cups unlocked in a kitchen drawer. This deficiency will be cited.