Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 10:20 a.m., the LPA arrived at the facility and called Licensee, Amalia Soratorio and explained the reason for the visit. At 10:30 a.m., staff allowed LPA entrance. At 10:40 a.m., the Licensee, Amalia Soratorio arrived at the facility. At 11:00 a.m., Administrator,Emmanuel Soratorio arrived at the facility.

RECORD REVIEW: Between 10:38 a.m. and 11:52 a.m., the LPA conducted a file review for all five (5) residents. Resident records were reviewed for but not limited to: Individual Program Plan (IPP), medical records, admissions agreement, quarterly reports and consent forms. All files were in order.

Due to time constraints the LPA will return at a later date to complete the annual.

Exit interview conducted. A copy of the report was provided.