Facility Evaluation Report

On 09/30/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA met with Staff Members (SM), Analiza Manganti and Michael Manganti and explained the purpose of the visit. LPA asked SM Maganti to call the Facility Designated Administrator (FDA), Maria Angelica Souxouay to inform her that CCL was present.

Shortly after, FDA Souxouay arrived at the facility.

This facility 6 residents, of which 5 may be non-ambulatory and 1 may be bedridden. This facility also has a dementia plan on file with a hospice waiver for 6 residents.

Current census was 6. A brief interview with FDA Souxouay was conducted.

A review of 3 staff files and 6 resident files were conducted. There are currently 4 residents on hospice. All files were current and up to date. The perspective facility administrator has an active administrator certificate #7034066740 and expires on 04/30/2027.

Fire extinguisher located by the garage door appeared to have been serviced 07/07/2025 and is in compliance.

The kitchen area was toured. LPA Pascua observed a sufficient seven days of non-perishable as well as two days worth of perishable food supplies in the main kitchen. Additional perishable supplies were identified in an additional refrigerator located in the garage. Knives and additional cleaning supplies were locked and made inaccessible to the residents at this time.