Routine inspection·April 23, 2026

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility and conducted the visit with Licensee, Donna Abitria. LPA, accompanied by licensee, toured the interior and exterior of the facility, and inspected each room. The facility was clean, and sanitary. The dining room area ceiling had a leak causing the roof to bubble. The licensee explained it will be repaired by a professional. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant and measured at 106 F.. The refrigerator temperature was 40 F and freezer temperature was 0 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. Medications were labeled, as required, and stored in locked areas. There were sharp objects and toxic chemicals/poisons accessible to residents. LPA observed laundry detergent, chemicals, items that could pose a danger in the garage, The garage door was unlocked and made accessible. There was a pool on the premises, which had a lock. However, the key was in the lock, making the pool accessible to residents. The licensee stated the pool guy left the key in the lock. The backyard also had large sharp gardening tools accessible to residents. Continued on LIC 809C. The front living room had a blow torch and sharp tools also accessible to residents. The facility has a resident that is able to walk around independently with a walker. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed multiple staff and resident records/files. The reviewed files did not contain required documents. Licensee signed the LIC 610E, as proof the training was conducted. However, the licensee did not provide the training, and was advised by their employee to sign the form as completed. The licensee does not have clear knowledge of their emergency disaster plan. Also, the Licensee was not aware of the required elements outlined in the document. Deficiencies were observed and cited during today's annual inspection. A $500 Civil Penalty was assessed for accessible bodies of water. Advisory Note were also issued. An exit interview was conducted with Licensee, Donna Abitria to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.