Routine inspection·December 9, 2025

On 12/09/2025 at 09:45 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Caregivers Pablo Larosa and Anna Guillermo. During the inspection, the LPA spoke over the phone several times with the Licensee / Administrator Leah MacDonald. The LPA toured the facility including but not limited to residents’ rooms, bathrooms, kitchen, common areas and the backyard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the living room was measured at 70.5 degrees Fahrenheit. The hot water temperature was measured at 128.8 degrees Fahrenheit, which was far above the safe range of 105 to 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and slip-resistant mats. There is more than the minimum of a one-week supply of nonperishable food and 2 days of perishable food. Centrally stored medications, sharps, and toxic cleaners are inaccessible to residents in care. The LPA observed the required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. The fire extinguisher was fully charged and replaced within one year on 7/2/2025. The Emergency Disaster Plan was last reviewed on 11/01/2025. Emergency, disaster, and fire drills are conducted quarterly; the most recent drill was conducted on 11/01/2025. First aid kit was observed to be complete. Liability insurance certificate expires on 1/17/2026. Continued on LIC 809-C . . . . . . Continued from LIC 809 The LPA reviewed 4 resident records and 5 staff records. 2 Type A and 1 Type B citations were issued during the inspection. Exit interview conducted and a copy of this report provided.