Routine inspection·January 13, 2026

On January 13, 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. Caregiver Mel Manuel was available to assist with the facility inspection. The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for three (3) residents. Facility serves as a Residential Care Facility for The Elderly (RCFE) and serves Dementia residents Currently, there are two (2) Hospice residents present during today’s visit. This is a single story with attached garage facility. The facility has four bedrooms (two private and two shared resident rooms), and three 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 and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 113.1 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for toxins and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained. Facility has one fire extinguisher which was charged and mounted. CONTINUED ON 809C During the visit, LPA observed the facility's infection control practices and sign in area for visitors. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations upon entry. LPA observed the facility has a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. Facility has a supply of emergency food and water LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on June 4, 2025. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 6/23/25 – 6/23/26 . 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 Maria Mirabueno - Expiration 11/01/2026. No deficiencies during this inspection visit. An exit interview was conducted with caregiver, and a copy of the report was provided.