Farm Hill Rest Home

On November 5, 2025, Licensing Program Analyst(LPA) Murial Han conducted an annual inspection. LPA Han was greeted by caregiver, Orlando Pios and LPA explained the purpose of today's visit. The administrator, Evelyn Ryan arrived shortly thereafter and assisted with the inspection. Caregiver provided a tour of the facility. This is a 2-story building with 6 bedrooms, 3 bathrooms, a living room, dining room, kitchen, front and back yards, and staff room. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the front and back yards. The facility was kept at a comfortable temperature. The hot water temperature in the kitchen and bathrooms was measured at 108-110 degrees Fahrenheit. Central stored medication, sharps, chemicals and toxins were observed to be locked and inaccessible to residents. Food supplies were observed to be adequate, Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced 10/9/2024. Fire drill records were reviewed to be adequate. A review of (2) resident files was conducted and noted on the LIC 858. A review of (1) staff files was conducted and noted on the LIC 859. P & I was reviewed for 1 resident to be adequate. No deficiency is cited today. This report is reviewed and discussed with the administrator.

On 5/16/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit to deliver an Amended report for a visit on 11/15/2024. LPA Calandra was greeted by Evelyn Ryan, Administrator/Licensee and explained the purpose of the visit. During today's visit, LPA Calandra reviewed the amended report with the Administrator and provided a copy of the report. No deficiencies cited during today's visit. An exit interview was conducted and a copy of this report was reviewed and left with Evelyn Ryan, Administrator/Licensee.

On 5/15/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit to deliver an Amended report. LPA Calandra rang the doorbell twice and knocked but no one came to the door. LPA contacted the Licensee/Administrator and left a voicemail regarding the visit.

On November 15, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 1:30 PM to complete the Annual 1-year required inspection. LPA Calandra was greeted by Elenita "Ruby" Cruz, Caretaker and explained the purpose of the visit. Evelyn Ryan, RN, Licensee/Administrator and Corazon Medina, Lead Staff arrived later during the visit. LPA Calandra reviewed 2 resident files. Both were observed to be complete. LPA interviewed 1 staff and 1 resident. No deficiencies were cited during today's visit. This report was reviewed with Evelyn Ryan, RN, Licensee/Administrator and a copy of the report left at the facility.

On November 15, 2024, at 3:15 PM, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Plan of Correction visit. LPA Calandra met with Evelyn Ryan, RN, Administrator/Licensee and explained the purpose of the visit. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Administrator/Licensee, Evelyn Ryan, RN and a copy of the report left at the facility.

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit focused on COVID infection control. LPA met with caregiver Amara Balatbat and explained purpose of today's visit. Later during visit LPA met with back up administrator Corazon Medina sister of the licensee. Upon entry LPA was not initially screened with COVID screening questions or having temperature taken but LPA advised on doing so for all visitors and staff entering the facility. Even if it is licensing or ombudsman. LPA was properly screened after this prompting. Prior to entry, LPA did not see any COVID postings on the front door entering the facility. LPA toured facility's building and grounds. LPA did not observe COVID postings through out the facility. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. Resident and staff daily temperature log is observed as up to date. PPE supply is observed as in place. Medications, toxins and sharps are stored appropriately and inaccessible to clients. Fire extinguishers are observed as being inspected on 07/06/2022. Of the extinguishers observed all are charged and ready for use. Facility ambient temperature is comfortable. Facility lighting is sufficient for residents and staff safety. Toilet and bathing facilities are equipped properly. Water temperature is tested at 116F in a common bathroom on ground floor. Resident bathrooms did have hand washing signs present. All resident rooms are equipped with required furniture and light fixtures. Non-slip mats and grab bars are present. Liquid soap is available and paper towels. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There is 1 resident and 2 staff on site today. The other 2 residents are attending their day programs. Staff is observed not wearing a mask. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed as current. Administrator certificate is observed expired on 11/01/2022. According to the administrator, she does have a current certificate and will send to the Department. The following updated forms are requested to be submitted to CCLD by 11/24/2022 : • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610E Emergency Disaster Plan • Copy of administrator certificate and requested documents to have the name changed Technical violations did occur today and are attached on the following LIC9102TV. Report is reviewed with Corazon Medina.