Facility Evaluation Report

At 08:30 a.m. Licensing Program Analysts (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. When the LPA arrived, there were no clients or staff present. The LPA contacted Licensee Lew Soratorio and informed them of the reason for the visit. At 09:00 a.m. Co-Administrator Amalia Soratorio arrived and was informed of the reason of the visit. Administrator Janica Soratorio arrived shortly thereafter and was informed of the reason for the visit.

Record Review: At 09:15 a.m., a review of facility files was initiated. Facility records are stored in a locked cabinet in the dinning room. The LPA observed documentation of Infection Control, Disaster prevention and last Disaster drill (conducted on 02/27/2026). The LPA obtained Client Roster, Staff Roster, and insurance liability. The LPA reviewed five (5) out of six (6) client files and five (5) out of fourteen (14) staff files. Files were reviewed for, but not limited to signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan, personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order at the time of the visit. The LPA and Administrator reviewed P&I Money for all six (6) clients who have their cash resources save guarded by the facility. Cash resources were found to be separate and intact and not commingled with facility funds or petty cash.

Medications: A medication audit was initiated and the following was observed. The medications were stored in a locked cabinet in the dining room inaccessible to the clients. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. Report will continue on LIC809-C, 2nd page.