Facility Evaluation Report

On 03/30/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua was greeted by Caregiver, Marlene Mclean and explained the purpose of the visit. LPA Pascua asked Caregiver Mclean to inform the Facility Designated Administrator (FDA), Marinela Placintar and explained the purpose of the visit. It was learned that a new administrator has been put in place for this facility. LPA Pascua asked FDA Placintar to inform the new administrator, Joseph Romansanta that CCL was present at this time. There was two other staff member present, Marlon Whyte and Venice Andrews.

This facility is licensed to serve 6 residents who are 60 and above. All 6 residents may be non-ambulatory. This facility has a Dementia Plan and has a hospice waiver for 4 residents.

LPA Pascua reviewed 4 resident files. 1 out 4 resident files did not have a complete admission agreement. LPA Pascua reviewed 3 staff files. It was learned that the Facility Designated Administrators did not have a file on site. 1 out 3 staff files did not have annual dementia training as required by Title 22.

The assigned Facility Designated Administrator (FDA), Joseph Romansanta has an active certificate, #6080741740 and expires on 02/22/2028. The current (FDA), Marinela Placintar also has an active administrator certificate #703557540 and expires on 06/23/2026.

LPA Pascua reviewed the Medication along with the Medication Dispensing Logs with the designated staff present. Along with the staff member, the LPA observed, reviewed, and compared resident medication and electronic medication dispensing logs. LPA Pascua observed that for the month of March 2026, dates were not initiated by the facility staff for 10 out 30 days of the month. First Aid Kit was present and contained all of the required components.

A tour with FDA Placintar was conducted. Fire extinguisher located in the hallway was serviced by Jorgensen Co on 06/16/2025.