Routine inspection·March 24, 2026

On March 24, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator/ Licensee Lisa DelaRosa was not available to assist with the facility inspection. Staff contacted Administrator to notify of visit. The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for five (5) residents. Currently, there are three (3) Hospice residents present during today’s visit. This is a single story with a detached garage facility. The facility five bedrooms ( 4 private and 1 shared) and two full bathrooms. LPA conducted a tour of the physical plant accompanied by Caregiver and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, blankets, and bath towels were available during the visit. Bathrooms were operational with water temperature measured between 109.0 F to 115.3 degrees F. A comfortable temperature of 75 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient two day perishable and seven day non-perishable food was maintained. Facility has one fire extinguisher which was mounted and charged. CONTINUED ON 809C During the visit, LPA observed the facility's infection control practices and LPA observed supply of Personal Protective Equipment (PPE). All Mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 12/5/2025 – 12/5/2026. A review of five residents (R1-R5) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Lisa Dela Rosa # 7010009740 - Expiration 5/5/2026. No deficiencies during this inspection visit. An exit interview was conducted with Caregiver Linda Herlina, and a copy of the report was provided.