Routine inspection·January 28, 2026

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by Administrator (AD) Noemi Figueroa. LPA explained the purpose of the visit. LPA observed the AD certificate for AD Figueroa which expires on December 19, 2026. This is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, with a hospice waiver for four. The facility is a two-story home with three resident bedrooms, two staff bedrooms, two resident bathrooms, one staff bathroom, a living room, a dining room, a kitchen and an attached garage. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident bedrooms, and observed the following: LPA observed residents having beef skewers, macaroni and cheese, fruit and salad for lunch. LPA observed six residents in care and two staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall in the living room. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway closet. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathroom was observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 107.0-113.3 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction and hazards. LPA observed the backyard had a shaded sitting area with furniture for resident use. CONTINUED ON LIC809-C... Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Two fire extinguishers were observed to be fully charged and located in the kitchen and activity room. LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the main entrance hallway. Facility had back-up emergency food and water supply, located in the garage. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded patio and sitting area, and the grounds were free of any hazards. There are 2 gates in the backyard, which both were self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and three staff files. LPA observed that a Preplacement Appraisal for R5 was not on file; a Deficiency is being issued today. LPA interviewed residents and staff present. For today's visit one deficiency was issued. An exit interview was conducted with AD Figueroa. A copy of this report and Appeal Rights were provided at the time of exit.