Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:30 a.m., the LPA arrived at the facility and called Licensee, Amalia Soratorio and explained the reason for the visit. At 9:55 a.m., staff arrived at the facility and allowed the LPA entry. At 10:14 a.m., the Licensee, Amalia Soratorio arrived at the facility.

RECORD REVIEW: Between 10:16 a.m. and 11:56 a.m., the LPA conducted a file review for all six (6) residents and staff regularly scheduled and observed the following: Staff have current first aid and training documentation. Resident records were reviewed for but not limited to: Individual Program Plan (IPP), medical records, P & I funds, admissions agreement, quarterly reports and consent forms. All files were in order. Administrator’s Certificate is valid until 11/01/2026. The last fire drill took place on 07/05/2025. The LPA observed documentation of the Infection Control Plan and Emergency and Disaster Plan.

At 12:00 p.m., the LPA conducted a review of medication and medication documentation with staff for three (3) out of six (6) residents and observed that medications were properly documented and assisted as prescribed.

Starting at 12:56 p.m., the LPA, along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards.