Routine inspection·September 25, 2025

On 09/25/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Staff . The Area Manager/Administrator Irene Formentera arrived later. The facility is licensed to serve six (6) non-ambulatory residents, in which six (6) may be bedridden. It also has a hospice waiver for four (4) residents. The facility currently has four (4) residents receiving hospice care and one (1) resident receiving home health services. Annual fees are current. The facility is a single-story structure located in a residential neighborhood. The facility consists of a foyer, kitchen, dining area, living room, fireplace, office area, laundry room, six (6) resident bedrooms, four and a half (4.5) bathrooms, attached garage, and a covered front patio. The facility is clean, sanitary, and in good repair. The Area Manager accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Continue to LIC809-C. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. 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 in locked storage cabinet. First Aid kit was available. Two fire extinguishers, last serviced August 22, 2025, was observed in the kitchen and near the garage door. Administrator tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional and inter-connected. Five (5) staff records were reviewed, 5 out of 5 staff records had current first aid certificates and required criminal record clearances or criminal record exemptions. Six (6) resident records were reviewed and 6 out of 6 resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with Staff Eleazer Damaso.