Routine inspection (multi-day)·October 3, 2025

On 10/03/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – Annual Continuation Inspection and met with Administrator Antonia Dionisio. The facility is licensed to serve five (5) non-ambulatory residents and one (1) bedridden resident. The facility also has an approved hospice waiver for one (1) resident. The facility currently has two (2) residents receiving home health services and one (1) bedridden resident receiving hospice services. The annual licensing fees are current as of 10/02/2025. The home consists of four (4) resident rooms, two (2) bathrooms, kitchen, dining room, living room, laundry room, attached garage, and outdoor patio area. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, a non-skid mat was in place, and a hot water temperature warning sign is prominently placed in the residents’ bathroom. Continue to LIC809-C. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean, clear of hazards, and doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were kept locked. One fire extinguisher, last serviced May 2024 was observed in the hallway. Administrator tested all carbon monoxide and smoke detectors located in the home. Devices were functional. The last fire drill occurred on September 4, 2025. Four (4) staff records were reviewed, four out of four staff records had current first aid certificates, training records, and had required criminal record clearances or criminal record exemptions. Five (5) resident records were reviewed and, five out of five resident records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans. Two medication records were reviewed. An exit interview was conducted, technical assistance provided, a copy of this report was provided to the Administrator Antonia Dionisio.