Routine inspection·October 29, 2025

On October 29, 2025, 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 Lady Jean Vera Cruz was available to assist with the facility inspection. The facility is licensed for six (6) non-ambulatory residents of which two (2) may be bedridden with approved hospice waiver for five (5) residents. Currently, there are two (2) Hospice residents present during today’s visit. This is a single story with a detached garage facility. The facility has four bedrooms (three shared resident rooms and one staff room) and two bathrooms. At around 8:45AM, LPA conducted a tour of the physical plant accompanied by caregiver Veronica Lirios and Administrator Lady Jean Veracruz, 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 106.5 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, cleaning supplies and sharps objects were stored and not accessible to residents. CONTINUED ON 809C 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 fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common area entry way. LPA observed the facility has a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working land line phone was operational. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 3/18/25 – 3/18/26. A review of four residents (R1-R4) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Lady Jean Veracruz # 6070564740 - Expiration June 1, 2026. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Lady Jean Veracruz, and a copy of the report was provided.