Facility Evaluation Report

On 1/13/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua was met by Staff Member (SM), Shelly Ann Allen and explained the purpose of the visit. Shortly after, LPA met with Facility Designated Representative (FDR), Venice Andrews and Licensee Marinela Placintar and explained the purpose of the visit. There was one other staff member present, Phillip Campbell.

This facility is licensed to serve 6 non-ambulatory elderly residents at this time. This facility has a hospice waiver allowable for 2 residents at this time. The current census was 5. A brief interview with Licensee Placintar was conducted.

It was learned that the two staff members present were not associated to this facility at this time. LPA Pascua FDR directed that both staff members were unable to be present at the facility at this time.

LPA Pascua reviewed 5 resident files and 2 staff files. All files were complete and up to date.

LPA conducted a tour of the facility. Smoke detectors and carbon monoxide were observed to be in working condition. Fire extinguisher was serviced on 06/16/2025 by the local fire company Jorgenson Co.

The kitchen area was toured. LPA observed a non-perishable and perishable foods in the cabinets and refrigerator. Additional perishable food supplies were identified in the garage.

LPA 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.