Routine inspection (multi-day)·November 6, 2025

At approximately 1:35 PM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to continue a required 1-year annual inspection and was greeted by Caregiver Princess Bernales. Administrator Delilah Ardiente was contacted via phone and arrived at approximately 2:30 PM. Facility is a Residential Care Facility for the Elderly (RCFE) with three (3) residents in care. Facility has a Hospice waiver for four (4), with zero (0) Hospice residents currently in care, and is approved for four (4) non-ambulatory residents. Physical plant walk-through conducted 10/3/2025. At approximately 1:50 PM LPA conducted a review of three (3) resident records. All required documentation present. At approximately 2:10 PM LPA conducted review of four (4) staff records. All required documentation present. At approximately 2:50 PM LPA and Administrator conducted a spot check of medication and medication records. Medication is centrally stored and locked. Facility conducts quarterly disaster drills, and the most recent drill was conducted 10/25. LPA observed facility's emergency disaster plan which was last updated 10/25. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. No deficiencies cited. Exit interview conducted with Administrator, whose signature on form confirms receipt.