Facility Evaluation Report

On 09/02/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by staff member (SM), Norma Padilla and explained the purpose of the visit. LPA Pascua asked SM Padilla to inform the Facility Designated Administrator (FDA), Cosmina Stancu that CCL was present at this time. Shortly after, LPA met with FDA Stancu and explained the purpose of the visit. There was one other staff member present, Monique Tyrell.

This facility is licensed to serve and accept up to 6 residents who are deemed to be non-ambulatory only. This facility has a dementia plan on file and a hospice waiver for 2.

LPA reviewed 4 resident files. 4 out 4 resident files were current and up to date. LPA reviewed 4 staff files. 4 out 4 staff files were current and up to date. The facility administrator has a current and up to date administrator certificate #7024429740 and expires on 1/25/2027.

Fire extinguisher located in the kitchen was inspected by a located Fire company, Assured, and was inspected on 08/22/2025. Smoke detectors and carbon monoxide were observed to be in good repair at this time.

Dining areas, living areas, and all other areas intended for resident use were toured. It was observed that furniture and furnishings were sufficient and able to meet the needs of the residents at this time.

Kitchen area was toured. Food storage units were reviewed for adequate 2-day perishable and 7-day non perishable quantities at this time. Knives were locked and made inaccessible to the residents at this time.

LPA Pascua observed a locked centralized stored medication cabinet located in the kitchen. Along with the administrator, the LPA observed, reviewed, and compared resident medication and medication dispensing logs. First Aid Kit was present and contained all of the required components.